Online Forms

At Virginia Eye Center, PC, we value your time. In an effort to save you time in our office, you have the option to download and print out the registration forms or submit them online.

Online Forms - Preferred Method 

New Patient Forms - Please scroll all the way to the bottom. There are a total of 4 forms including a registration form, medical history and 2 pages of consents.

Cataract Questionnaire - For Cataract Consult Appointments Only

Downloadable Forms

  • You will need AdobeReader® to download and complete the forms. Click here to download.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Fax your printed and completed form(s) to our office at Fax 703.858.9801 or bring them with you to your appointment.

New Patient Forms

Cataract Questionnaire - For Cataract Consult Appointments Only

Contact Lens Agreement - New Wearer

Contact Lens Agreement - Established Wearer

Request for Medical Records


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