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Patient Forms

Click on the icon to download and print our patient forms. This will save you time in the office.

Click here to download your forms for your next visit at Primary Eyecare

Click here to download forms for your next visit to Primary Eyecare (pdf)

 

 

 

 

Thank you for scheduling an appointment at Primary Eyecare. Please remember to bring the following items to your eye exam:

  • Current Eyeglasses
  • Current Sunglasses
  • Current Contact Lens Prescription (if available)
  • List of Medications currently being taken
  • Vision and Medical Insurance card (many times your medical insurance will cover what vision insurance does not)
  • Completed New Patient Forms (see link above to download forms)

Our Locations - Barracks Road and Hollymead Town CenterRequest an Appointment at Primary Eyecare OnlineMeet the Optometrists of Primary Eyecare in Charlottesville, VAOrder Your Contact Lenses Online

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