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Gloucester (804) 642-2290  |  Williamsburg (757) 229-8660

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Our Location

3449 George Washington Memorial Highway
Hayes, VA 23072
5251 John Tyler Highway, Suite 7
Williamsburg, VA 23185

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Forms

New Patient Forms

Welcome to Eastern Eye Associates! If you are a first-time patient to our practice, we have made it easy for you by offering our new patient forms online. Please select the appropriate forms, print them out, and bring them to your appointment already completed. By offering you this option to print the forms in advance, you will be able to complete them at your own pace and in the comfort of your own home. We look forward to seeing you!

Patient Information Form

Financial Policy

Email Consent Form

Understanding Vision vs. Medical Eye Exams

Notice of Privacy Practices

 

Are you transferring your care to our practice from another eye care provider?  To provide you with the best care possible, it is often helpful for our doctors to review the medical records from your last doctor.  If you would like your records to be faxed to our office from your previous provider, please complete the following form and return it to our office:

Medical Records Transfer Request