Save time by completing your paperwork in advance. Our online patient forms make it easy to share your information securely so your visit can focus on your eyes, not your clipboard.
Make Check-In Faster & Easier
Completing your forms before you arrive helps streamline your check-in and gives our doctors a clear understanding of your medical and vision history from the start. Whether you are visiting Eye Rx — Dumfries for the first time or updating existing information, our forms are designed to be simple, secure, and easy to complete at home.
If you are unable to complete forms in advance, please arrive a few minutes early, and our team will be happy to assist you.
Insurance Partners
We work with many major medical and vision insurance plans to help make eye care accessible for families in Dumfries and throughout Prince William County. Coverage can vary depending on your plan and the reason for your visit, and our team is always available to help answer questions before your appointment.
Save time by completing your new patient forms in advance—convenient, quick, and secure.
Review our financial and privacy policies to understand your rights, responsibilities, and how we protect your information.
If you're an existing patient, please take a moment to update your information if anything has changed, so we are up to date.
Patient Forms Available
Access the forms you need using the links on this page. Depending on your visit type, you may be able to complete forms online or download and print them.
Forms may include:
- New patient registration
- Medical and vision history
- Insurance information and acknowledgments
- Appointment-specific questionnaires
If you are unsure which forms apply to your visit, please contact our office and we will guide you.
New Patients: What You Will Need
If this is your first visit to Eye Rx — Dumfries, completing your new patient forms in advance helps us prepare for your appointment and keeps your visit running smoothly. Please plan to have your photo ID, insurance card, and a list of any medications or eye drops you use available when completing your paperwork.
Parents bringing children for an eye exam may also wish to note any school or reading concerns they would like to discuss.
Returning Patients: Updating Your Information?
Even if you have been seen before, we may need updates to your forms. Changes in health, medications, address, or insurance can all affect your care. If it has been over a year since your last visit, or if anything important has changed, please take a moment to review and update your information before your appointment.
If you are unable to complete forms online, have trouble printing them, or are not sure which forms you need, our Eye Rx — Dumfries team is here to help. Call our office and we can answer questions, email copies, or prepare forms for completion during your visit.