New Patient Form

To view and complete patient forms and our HIPAA policy, please click the links below.

Health Insurance Portability and Accountability Act
Patient Consent Form
Records Request
HIPAA Policy

No Show Appointments & Late Cancellations: Appointments cancelled less than 24 hours in advance and no-show appointments will be subject to a $50 fee; this fee will not be covered by your insurance company.

Insurance

Accepted Insurances

• Aetna
• Cigna
• Community Health Plan
• EyeMed
• First Choice
• Medicare
• Metlife Vision – VSP
• Molina Healthplan
• MultiPlan
• NBN
• North West Administrators
• Premera
• Regence
• Tricare
• Trusteed
• US Family Health Plan
• Vision Service Plan

Need financial assistance with your exams?
Apply online for CareCredit.