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New Patient Paperwork

REGISTER ONLINE

Save time by submitting your registration and history information through our online form.

OR

Print the paperwork and bring it to your appointment.

MEDICAL HISTORY
RETINAL IMAGING

Learn about retinal imaging and dilation option here.

Please arrive to your appointment with:

  • Your current eyeglasses or last written prescription

  • Your medical and vision insurance cards and a photo ID

  • A list of current medications, including vitamins and over-the-counter medications

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Contact lens wearers: 

Current patients, please inform us of any significant discomfort, redness, discharge, blurred vision, or eye pain. If you are experiencing any of these symptoms, bring the lenses in and do not wear them. We encourage new patients to bring in a copy of your current contact lens prescription or boxes for the brand name.

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Medical records:

If you have been previously been treated or is currently receiving treatment/surgery for any ocular condition, please bring in your information or contact information of your previous provider.

 

Insurance and Payment:

Insurance can be overwhelming, it is important for us to guide you through the process and receive the best benefit from your coverage.

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We accept the following vision and health insurances:

Always care

Avesis

Blue Cross Blue Shield

Davis Vision

Medicaid

Medicare

National Vision Administrators

Superior Vision

United Healthcare

Vision Service Plan

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We accept the following payments:

Cash

Checks

Credit Cards

Credit Care

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