Eye Examination Forms
Because your time is valuable, if you would like to fill out your medical and ocular health histories prior to your appointment, you can click on the links below. If you would rather fill out these forms in office, please arrive at least 15 minutes prior to your scheduled appointment and we will gladly assist you.
| If you are a current patient or will be visiting our office for the first time, click here for patient history forms and insurance information. |
Forms can be printed and completed to bring with you on the day of your visit.
Click on the links below to view your medical ocular health and vision benefits.
Accepted Vision Plans:
Always Vision
Eye Med
Vision Benefits of America
Vision Care Direct
Vision Care Plan
Vision Service Plan
Accepted Medical Plans:
Aetna
Anthem Blue Cross Blue Shield
Carpenters
Cigna
Complete Medical Resources
Group Health Plan
Health Link
Healthcare USA
Humana
Medicare
Mercy
Private Healthcare Systems
Principal
Tricare
United Health Care
United Medical Resources
Blue Choice
Central States H&W
Construction Laborers
Coventry
Essence
GHP Gold Advantage
IBEW Local 1
Premier Benefits/Plus
Railroad Medicare
Avesis Vision
Guardian Vision (VSP only)
Healthscope Vision
Superior Vision
***Flexible Medical Accounts
Cash
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