Patient Center

Patient Forms

Save time at your visit by completing your forms online before you arrive. New patients, please start with the Patient Registration Form below.

New Patients

All new patients are asked to complete the Patient Registration Form prior to their appointment. All fields are required — if a question does not apply to you, please enter N/A. Completing this form in advance helps our team prepare for your visit and allows us to focus more time on your care.

Complete Patient Registration Form

Additional Patient Forms

The forms below are not required for new patients but may be needed for specific appointments or services.

Patient Registration Form

Required for all new patients. Complete before your first visit.

Consult Form

For patients scheduling a surgical or specialty consultation.

HIPAA Notice of Privacy Practices

Acknowledgment of how we collect, use, and protect your health information.

Medical Records Release

Authorize the release of your medical records to another provider or facility.

Contact Lens Policy

Review our office policy for contact lens prescriptions, fittings, and orders.

Need Help With Your Forms?

If you have trouble accessing a form or have questions about what to complete before your appointment, our front desk team is happy to assist.

Reston

Leesburg

Schedule an Appointment