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Patient Forms

Access our patient forms that you can fill out before your next visit to Dr. Finley’s Family Eyecare – Optometrists in Herndon.

Our Forms

  • Welcome Form [URL] – For ALL our patients – you will need to fill this out only once. The information will transfer directly to our patient care software in our office without wasting paper. We will ask you in office to verify any information at your next visit. Filling out this form online is also an electronic signature for the next two forms: Financial Responsibility and Notice of Privacy Practices Form.
  • Financial Responsibility Form [PDF] – For ALL our patients – to be signed once and signed again only if we make any changes. Unless you fill out our online Welcome Form, we have laminated copies to sign with erasable marker at our office to reduce paper waste.
  • Notice of Privacy Practices (HIPPA) Form [PDF] – For ALL our patients – to be signed once and signed again only if we make any changes. Unless you fill out our online Welcome Form, we have laminated copies to sign with erasable marker at our office to reduce paper waste.
  • Contact Lens Notice Form [PDF] – For our Contact Lens patients ONLY.