REGISTRATION
We ask that you complete the attached paperwork. Please bring your insurance card(s) and a form of photo identification with you to your appointment. At the time of your appointment we will verify your insurance benefits and coverage. This will take some additional time. We appreciate your patience. You are welcome to arrive a few minutes prior to your appointment time.
Medical Record Release
HEALTH HISTORY
It is very important to fully complete this form. You may bring a list of all medications that you are currently taking (if you do not want to write them down). Please be sure to bring your eyeglasses with you. It is very important to indicate your exact “reason for visit”. This will assist us in determining your insurance benefits for a medical reason such as diabetes or glaucoma or a routine vision checkup.
REFERRALS
If your insurance company requires you to have a referral, you must bring a copy with you. Without the referral, you may be asked to reschedule your appointment. Referrals are the responsibility of the patient. If you are unsure about your need for a referral, please call your insurance company or our office, and we will be glad to help you.
We look forward to seeing you and hope that this information has been helpful. If you have any questions, or if we can be of assistance to you in any way, please do not hesitate to contact our office.