Notice_of_Privacy_Practices.pdfYour source for returning patient forms, insurance information, patient portal link, and contact lens evaluation for Annandale EyeCare in Annandale, VA
We understand that your time is precious and that you need an optometrist who is professional, yet convenient for your lifestyle. We have created a Returning Patient Center with everything you need to get started.
In an effort to streamline the check-in process, you will be able to complete all the necessary items prior to your arrival. At Annandale EyeCare, we strive to make sure the time we spend with you during your visit is quality time.
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.
We look forward to seeing you back in our office to take care of your eye health and vision needs.
Please click on one of the links below to download the relevant forms and learn more about our practice:
Digital Returning Patient Form
Fill out this digital form and submit your information electronically.
Returning Patient Forms – Please fill out this electronic version of the "Returning Patient Information" forms. Clicking submit will email the forms to our office.
Printed Returning Patient Form
Print and fill out before your next visit to save you time.
Returning Patient Information Form [PDF]
Understanding Your Contact Lens Fitting & Evaluation Fees [PDF]
iWellness - Optos Explanation [PDF]
Notice of Privacy Practice (HIPAA Notification) [PDF]
Financial Responsibility [PDF]
Link to your Patient Portal – See key information about your eyes, manage your scheduled appointments, send secure messages to the office, print copies of your glasses prescriptions and see billing statements from today and the past.
Insurance Information – A list of some of the insurance carriers we accept, including contact information.