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For your convenience, we have made a number of forms available for patients to download. If you are new to our practice, we encourage you to download and print out the new patient forms. Filling these out in advance of your first visit will minimize the time you spend in the waiting room filling them out when you get here. Other forms are informational. If your doctor has given you a form with specific information or instructions different from the information on these online forms, rely on the information given to you by your doctor, not on the online forms. If you're not sure which forms you need, please call Anita Foster, 757-345-1001 for assistance or email us your questions at anita.foster@rivhs.com.

 

If you're unable to open these files, you probably need to download the free Adobe Acrobat Reader program, which is available at the following location: www.adobe.com/products/acrobat/readstep.html

 

Click on the forms you would like to download:

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DOCTORS
·  R. Douglas Cullom, M.D.
·  Mary Ellen Cullom, M.D.
·  Leana S. Long, M.D.
·  Jose M. Portal, M.D.
·  Matthew D. Reed, M.D.
·  Gary W. Fredericksen, O.D.
NEWS
·  NASA Endorses Lasik for Astronauts
·  PRK O.K. for U.S. Army Special Forces.
·  Laser Surgery Battle - Worthy in Army's Eyes
·  Star Wars technology could offer new hope to those experiencing problems after laser vision correction.
·  Collaborative US Army, Navy, and Air Force Studies Demonstrate Superiority of "Custom" Laser Vision Correction
·  VISX CustomVue Mixed Astigmatism
·  VISX CustomVue™ Hyperopia Procedure
APPOINTMENTS
·  Schedule a consultation with our doctors. Tell us when you would like to visit.
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CONTACT US

 


VISIT US AT: 120 Kings Way, Suite 1300, Williamsburg, VA 23185
PH: 757-345-3001| FAX: 757-345-3102
 EMAIL: anita.foster@rivhs.com

Convenient evening and Saturday hours available!

 
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