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. You must click on the Submit button at the bottom of each form for a total of 4 times.
Information and Consent for Dilated Exam and Information and Consent for Refraction
Cataract Forms - For Cataract Consult Appointments Only
Cataract Contact Lens Questionnaire & Topography Consent
*Additional information about appointments - Please wear a mask. If you do not have one, we will provide you with one. Please remain in your car in our parking lot until called by a member of our staff. If it is 10 minutes past your appointment time and you have not been called, please call the office at 703.858.9800.
Downloadable Forms
New Patient Forms
Cataract Questionnaire - For Cataract Consult Appointments Only
Contact Lens Agreement - New Wearer
Contact Lens Agreement - Established Wearer
Request for Medical Records
Consents