Thank you for entrusting us with your vision care. We look forward to serving you in a caring, efficient and professional manner.
During you first visit it will be necessary to create your medical record. We would appreciate your assistance in expediting this process. Please complete the Patient Information / Insurance Information, Eye Patient Health History and Notice of Non Covered Services forms below. By completing this step in advance we can better focus on meeting your eye care needs during your visit.
Attached to the file below is a copy of our Notice of Privacy practices for your review.
We respectfully request that you arrive fifteen minutes prior to your scheduled appointment time. This will allow us to verify your information and enter it into our computer system prior to your visit with the doctor.
Please plan to bring with you to your appointment the following:
- Completed Forms – Patient Information / Insurance Information, Eye Patient Health History and Notice of Non Covered Services.
- Payment for co-pays, deductibles, co-insurance amount and any services not covered by your insurance. We accept cash, checks, and credit cards. Payment is expected at time of service.
- Referral – if your insurance requires it, otherwise payment is expected at the time of service.
We are very pleased that you have chosen us for your eye care. Feel free to call our office if we can be of assistance to you in completing this paperowrk or with any other questions you might have about your appointment.
We look forward to seeing you!