Retina Institute | Richmond, Virginia | Retina Institute of Virginia | Drs. Tabassian, Astruc & O’Keefe

Patient Forms

Registration Form
Request for Medical Records Form
RIV Consent Form
Patient’s Acknowledge of Receipt Of Privacy Notice
Online Forms

RIV Main Office: 8700 Stony Point Pkwy., Suite 150 & 160 Richmond, VA 23235 • Phone: 804-644-7478 • Fax: 804-644-8224
Fredericksburg Location: 615 Jefferson Davis Hwy., Suite 101 Fredericksburg, VA 22401 • Phone: 540-368-5230 • Fax: 540-368-5233
Tappahannock Location: 668 Hospital Rd., Suite 301 Tappahannock, VA 22560 • Phone: 804-644-7478 • Fax: 804-644-8224
Colonial Heights Location: 280 Charles H. Dimmock Pkwy., Suite 2 Colonial Heights, VA 23834 • Phone: 804-520-4160 • Fax: 804-644-8224