Patient Registration Forms

Please print and fill out these forms and bring them with you to your appointment along with your insurance cards and picture ID.

Note: These files are in PDF format. If you do not have Adobe® Reader®, you can download it for free by clicking here or on the Get Adobe Reader icon.

Payment Options

We accept cash, major credit cards, CareCredit®, HSA and FSA

Visa Mastercard American Express Discover Care Credit

Insurance Plans

We participate with several vision plans including VSP, Davis Vision, EyeMed, Humana Vision Care, VCP and VBA

We also participate in over 100 medical insurance plans including Aetna, Blue Cross Blue Shield including Open Access & Open Access HMO, Cigna, TriCare, United Healthcare as well as Medicare. Please check with your insurance company to see if we are on your plan or contact our office at (770) 474-1237.