Patient Resources

Patient Forms

• Patient Information Form (PDF) 
• Records Release Form (PDF) 
• Notice of Privacy Practices (PDF) 

---

About Your Insurance

There are two types of health insurance that will help [pay for your eye care services and products. You may have both and our practice accepts both:

• Vision care plans (such as VSP and EyeMed)
• Medical insurance (such as Blue Cross / Blue Shield and Medicare)

Vision care plans only cover routine vision exams along with eyeglasses and contact lenses. Vision plans only cover a basic screening for eye disease. They do not cover diagnosis, management, or treatment of eye disease.

Medical insurance must be used if you have any eye health problem or systemic health problem that has ocular complications. Your doctor will determine if these conditions apply to you, but some are determined by your case history.

If you have both types of insurance plans it may be necessary for us to bill some services to one plan and other services to the other. We will use coordination of benefits to do this properly and to minimize your out-of-pocket expense.

---

Vision Insurance

If you do not see your vision insurance plan, please give our office a call for more information.

---

Medical Insurance

If you do not see your medical insurance plan, please give our office a call for more information.