Send a text to (804) 505-4280 to make an appointment or learn more! 

New Patient Paperwork

Follow the button below to print out the new patient paperwork to fill out before you come in for the exam. We will then automatically upload the information you provide into your chart.

If you do not see your insurance on the drop-down menu when filling out the online form that does not necessarily mean we do not accept your insurance. Many insurances go by different names, so we have the main names listed on the site. Just fill it out with the ID number and leave the insurance name blank.
New Patient Paperwork on HIPAA Compliant Portal

Insurances Accepted

Medical Insurances

  • Medicare
  • Medicaid
  • Optima
  • Anthem/Blue Cross Blue Shield
  • Aetna
  • Cigna
  • United Health Care
  • If you don't see your insurance listed above, it doesn't necessarily mean we do not take your insurance. Call 757-355-5553 or text 804-505-4280 and we can check your to make sure. Many carriers go by different names and just the common names are listed above. 

Vision Plans/Benefits

  • Eyemed (including Blue View Vision)
  • Vision Service Plan (VSP) 
  • If you see your Medical Insurance listed to the left- we likely are in network with the Vision Plan/Benefit they utilize, so even if not listed above- call 757-355-5553 or text 804-505-4280 to see if we accept your plan.