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New Patient Center

Welcome to the New Patient Center for Annandale EyeCare in Annandale, VA

image of man and womand wearing sunglasses.We look forward to taking care of your eye health and vision requirements at your upcoming appointment.  

We understand that your time is precious and that you need an optometrist who is professional, yet convenient for your lifestyle. In order to make the transition to our office smoother for you, we have created a New Patient Center with everything you need to get started.

In an effort to make you more comfortable when you arrive at our office and to streamline the new patient check-in process, you will be able to complete all the necessary items prior to your first visit. At Annandale EyeCare, we strive to make sure the time we spend with you during your visit is quality time.

Please take a few minutes to fill out the forms below to help us understand your past ocular history and health background.

For your convenience, we have created the following pages to provide you with a list of some of the insurance carriers we are in network providers for at our Annandale office as well as several history forms and other necessary documents designed to save you time at your next appointment. 

Thank you for choosing us, we look forward to seeing you.

Please click on one of the links below to learn more:

Digital New Patient Form

Fill out this digital form and submit your information electronically.

New Patient Forms – Please fill out this electronic version of the "New Patient Information" forms. Clicking submit will email the forms to our office.

New Children's Patient Forms – Please fill out this electronic version of the "New Children's Patient Information" forms. Clicking submit will email the forms to our office.

Printed New Patient Forms

Print and fill out before your next visit to save you time.

Kids History & Information Form [PDF]

New Patient History & Information Forms [PDF]

Understanding Your Contact Lens Evaluation Fees [PDF]

Notice of Privacy Practices (HIPAA Notification) [PDF]

iWellness - Optomap Explanation [PDF]

 Financial Responsibility [PDF]

Insurance Information – A list of some of the insurance carriers we accept, including contact information.


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All Patients receive 50% OFF Second Pair of Complete Glasses!

Location

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Office Hours

Emergency Contact: 703-941-4111

Monday:

8:00 am-5:00 pm

Tuesday:

7:00 am-6:00 pm

Wednesday:

8:30 am-5:00 pm

Thursday:

7:00 am-6:00 pm

Friday:

8:00 am-2:00 pm

Saturday:

Closed

Sunday:

Closed