Forms And Policies

For Patients
Tech in hallway with clipboard

Patient Forms

Our practice strives to provide you and your family the best possible patient experience. Please arrive a few minutes early so that our staff can meet you and properly gather your medical information.

Download our Patient Registration Form below:

Contact Lens Policies and Fees

Our doctors fit all types of contact lenses for common vision problems such as nearsightedness, farsightedness, astigmatism, and presbyopia as well as for the therapeutic treatment of certain eye diseases. 

Download our Contact Lens Evaluation Agreements below:

Cancellations

Should you need to reschedule your appointment, we would ask for 24 hours notice.  We do charge $25 for all appointments rescheduled with less than 24-hour notice.

Emergency Care

During business hours, patients should call any of our office locations to speak with a staff member. After business hours, our answering service is available to route your call to a member of our on-call patient care team. Please note, any patient with a life-threatening medical emergency is advised to dial 911 to receive emergency medical care.

Records Release

To be compliant with federal regulations, medical records will be kept for seven years. After seven years, records will be properly disposed of in a manner which protects patient confidentiality. A patient may request a copy of their records for a nominal fee. Please allow up to 15 business days for delivery.

If you would like your records transferred from another doctor’s office to our practice, please contact their office to initiate the transfer. 

HIPAA Notice Of Privacy Practices

At See Clearly Vision, we value the privacy of all of our patients. To review our privacy practices, click here.

Our Locations

Tysons Corner

Location:

8138 Watson St
Tysons, VA 22102

Phone Number:

703-827-5454

OFFICE HOURS:

Monday through Friday
8:30 am to 5:00 pm

Arlington

Location:

1715 N. George Mason Drive
Suite 206
Arlington, VA 22205

Phone Number:

703-525-4411

OFFICE HOURS:

Monday through Friday
8:30 am to 5:00 pm

Rockville

Location:

5842 Hubbard Drive
Rockville, MD 20852

Phone Number:

301-770-6888

OFFICE HOURS:

Hours: Monday 8:30 - 12:00 Tuesday closed
Wednesday 8:30 - 12:00
Thursday 8:30- 5:00
Friday closed.

Contact Us

Top Doc 19Top Doc 2019Top Doctors 2018 - 2020Premier Surgeon
(877) 234-2020
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