Forms Forms New Patient New patients can save time at their appointment by bringing completed and signed forms with them. Registration Forms New Patient Intake - complete prior to scheduling first appointment Registration - online - complete prior to your visit, after an appointment is scheduled Child registration form - printable - if you cannot complete online registration Adult registration form - printable - if you cannot complete online registration Consent Forms Consent for Dilating Drops Consent for Contact Lens Fitting Additional Fees Disclosure Authorization to Give Consent for Outpatient Treatment Notices Notice of Privacy Practices Acknowledgment of Receipt of Privacy Practices Records Request Medical Records Request - to get records from Virginia Pediatric Eye Center Medical Records Request - to send records to Virginia Pediatric Eye Center