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Patient Forms

Welcome! We know you’re busy…and the following tips will help us serve you more efficiently

  1. The link to our secure and encrypted, online form for new patients is below. This form needs to be submitted at least 24-hours prior to your appointment time. If you are unable to do so, please report 30 minutes early for your appointment.
  2. Full payment is expected at the time of your visit. When we have your correct insurance information three (3) business days prior to your appointment, we will gladly file your visit to your vision or medical plan, as applicable. Any co-pays or deductibles will apply. Without pre-verification, full payment for all services is expected at the time of your visit. We will still be happy to file to your insurance for your reimbursement.  We accept Visa, MasterCard, American Express, Discover and Care Credit.
  3. If you are not familiar with our location, click here. Please don’t depend on your GPS system to find our office. The Ridge Office Park is a new development and is not listed on many systems. If you still need help, please call our office in advance of your appointment and we will help you find us.
  4. If you are a contact lens wearer, please wear your contact lenses to your appointment. It is also helpful if you bring your back-up glasses, too.
  5. If you wear glasses, please bring your most recent pairs of glasses and prescription sunglasses to your appointment.
  6. Please bring a copy of your medical insurance card and a complete list of your medications. This includes oral and topical (creams or drops), both prescription and non-prescription.
  7. Please be aware that many medical insurance plans, including standard Medicare, do not cover refraction (the process of determining the prescription used for glasses and contact lenses). The refraction fee is $48 which is due at the time of service if not being filed to insurance. Please contact us at least 48 hours in advance of your appointments if you have further questions about possible charges for this service.
  8. We strive to run on time because we don’t like waiting for hours in a doctor’s office, either. Patients who are late for their appointments cause us to be behind schedule for every other patient the rest of the day. If you are late for your appointment, we will help you find a time that is more convenient for your schedule.
  9. So we may better serve all of our patients, kindly give 48 hours’ notice if you need to reschedule your appointment. A credit card may be required to hold future appointments when cancelled or rescheduled with less than 24 hours’ notice, or if you miss your appointment entirely. A $75 no-show fee will be charged to this card for any future missed appointments.
  10. All patients under the age of 18 must be accompanied by a parent or guardian throughout their entire visit.  Howard and the Amazing Eye Exam is a fun, interactive eBook parents can download to explain the eye exam experience to young children.  To download the book for free, click here.                                                                                                                                           Howard
  11. Please alert our staff as soon as possible to any special needs or disabilities of which we should be aware.

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