New Patients

Welcome

We are accepting new patients!

  • If you have not already done so, call us at (757) 463-0000 to schedule an appointment or request one online HERE.
  • Once your appointment is scheduled, please take a few moments to complete your New Patient Welcome Form before your first appointment. Doing this will save you a lot of time! You can access the form below…
  • There are 12 brief sections that you will need to complete:

Personal InformationPrimary Insurance InfoSecondary Insurance Info
Primary Care Physician Contact InfoReferring Physician Contact InfoYour Health History
Your Eye HistoryYour General HealthFamily Health Hiistory
Spectacle Lens HistoryContact Lens HistorySocial History

  • When you have completed all of the sections, click the submit button to securely send your form to our office online.
If you prefer to not send your form electronically,
you may also print a copy and bring it with you to your first appointment.
  • If you have any questions, or need assistance completing your Welcome Form, please call us at (757) 463-0000.

Click the blue button to begin:

(the form will open in a new window or tab)

Remember, you must click the Submit button
at the bottom of the form to send it to us!

Helpful Links for New Patients