Patient Information
Payment and Insurance
In addition to personal checks, cash, and all major credit cards, we accept the following insurance plans:
Avesis
Eye Care Direct/Vision Care Direct
EyeMed
Vision Service Plan (VSP)
We also accept payment through Care Credit financing plans.
Patient Info:
For your convenience, you may print and complete the following forms and bring them with you to your appointment. We also suggest that you read the HIPPA-Patient Privacy Notice found below.
Patient Information Sheet 
Symptom Checklist
Privacy Notice
Vision Therapy Evaluation:
In addition to the Patient Information form above, please choose the applicable form from those listed below, print and complete.
Children’s Vision Questionnaire
Adult Vision Questionnaire
Brain Injury Questionnaire
Privacy Notice
No vision insurance? Limited coverage?
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