New patients can save time at their appointment by bringing completed and signed forms with them.
- Registration - Child Form
- Registration - Adult Form
- Consent for Dilating Drops
- Additional Fees Disclosure Form
- Authorization to Give Consent for Outpatient Treatment
Medical Records Request Forms
For established patients, requests for medical records can be submitted with the form below.
Partial List of Insurances Accepted
We accept many insurance carriers, including some not listed below. Please call our office to see if your child's doctor accepts your insurance plan prior to receiving services. Our participation with the health plans listed is subject to change. You should obtain a referral in most cases for new patient visits.
Aetna US Healthcare
First Health/Mail Handlers
Optima Health Plan
Anthem (select plans)
Blue Cross Blue Shield
United Healthcare of Virginia
Virginia Health Network
North Carolina Medicaid
Tricare / Tricare Prime / Tricare for Life
Vision Service Plan
EyeMed (select plans)