Patient Forms
Please print and complete the new patient forms prior to your scheduled appointment at www.eyephys.com. When you are on the Eye Physicians and Surgeons website click the three bars at the top right of the home page and scroll past the About Us and Services section. Please read the Appointments section and click on forms to print and complete prior to your visit if you are able to do so prior to your appointment If you are unable to complete the new patient forms online please arrive 15-20 minutes early to complete your COVID screening and paperwork.
New patient forms are for all former patients of Dr. Heloi Stark, O.D. that have been seen at the former Jermantown Road address and/or are new patients to the new address at 3031 Javier Rd., Suite 300, Fairfax, VA. New patient forms are also for all patients that have not been seen at the former Jermantown Road in the last 3 years, or have not been seen at the new Javier Road address in the last three years. Please bring eyeglasses, contact lenses, contact lens prescription information (boxes or vials), vision and medical insurance cards, any pertinent medical history/records and these completed forms to your appointment and arrive 15-20 minutes prior to appointment time Thank you and we look foward to assisting you with you vision needs.
New patient forms are for all former patients of Dr. Heloi Stark, O.D. that have been seen at the former Jermantown Road address and/or are new patients to the new address at 3031 Javier Rd., Suite 300, Fairfax, VA. New patient forms are also for all patients that have not been seen at the former Jermantown Road in the last 3 years, or have not been seen at the new Javier Road address in the last three years. Please bring eyeglasses, contact lenses, contact lens prescription information (boxes or vials), vision and medical insurance cards, any pertinent medical history/records and these completed forms to your appointment and arrive 15-20 minutes prior to appointment time Thank you and we look foward to assisting you with you vision needs.