PATIENT FORMS

If you have an appointment for an eye health examination, please see the forms below - print - complete and bring to the office at the time of your appointment. This will expedite and shorten your waiting time.

INSURANCE

To best meet the needs of our patients, we have decided to become participating physicians on the following health and vision care plans. We are willing to seek participation on other plans if the need should arise.

If your plan is not on this list, please call the office and we will try to assist in determining the proper administration for your medical and/or vision coverage.

  • Blue Cross Blue Shield
  • Aetna
  • Humana
  • Cigna
  • United Healthcare
  • Med Partners
  • PHCS
  • GEHA
  • Medicare
  • Mutual Of Omaha
  • Care Improvement
  • Tricare
  • Eyetopia
  • Humana One Vision Care Plan (VCP)
  • Employer Plan Services
  • Driscoll Medicaid
  • Molina Healthcare Medicaid
  • United Healthcare Medicaid
  • Molina Healthcare Chip plan
  • Veterans Administration Voucher