Patient Resources
Take advantage of the online services offered by our practice with the assurance that all of your information is encrypted and stored securely.
After you create your account, you will receive an e-mail from us that includes your user ID and a link back to our patient portal. You may log in at any time to begin using our services.
If you need assistance with this portal, please click here and include a brief message along with your date of birth.
Want to Make an Appointment?
Patient Forms
To save you time during your appointment, we've made several patient forms available to download, fill out, and print beforehand. Be sure to bring the form(s) with you on the day of your appointment.
If you have a question while filling out your form, please give us a call and our staff would be happy to help.
We look forward to seeing you soon!
| New Patient Registration Forms | Link |
|---|---|
| New Patient Registration Form | View / Download |
| Ethnicity Form | View / Download |
| HIPAA Privacy Form | View / Download |
| Current Medications | View / Download |
| No Show Policy | View / Download |
| Telemedicine Forms | Link |
|---|---|
| General Information | View / Download |
| Patient Prep Handout | View / Download |
| Informed Consent Form | View / Download |
| Snellen Chart for Adults | View / Download |
| Home Eye Test for Children & Adults | View / Download |
| New Patient Registration Forms (Spanish) | Link |
|---|---|
| New Patient Registration Form | View / Download |
| HIPAA Privacy Form | View / Download |
| Medical History Form | View / Download |
| No Show Policy | View / Download |
Need to Request Medical Records?
Insurance
Our doctors participate with over 150 different insurance companies. It is a good idea to contact your insurance provider to check what benefits you may have before you schedule with one of our physicians. If our physician is not listed with your insurance company, we will provide you with receipts, so that you may file with your insurance company directly.
Bring Your Insurance Card
A member of our staff will need to make a copy of your most current insurance card so please bring that with you to your appointment. It is a good idea to contact your insurance provider to check what benefits you may have when you see one of our physicians.
Referrals
Please obtain a referral from your primary care physician IF your insurance requires that you do so.
These are the most utilized insurance companies:
- Humana
- Medicare
- Secure Horizons (Wellmed and Health Texas)
- Blue Cross
- United Healthcare
- Pacificare
- Community First
- SAEHA
- Medicaid
- Tricare
Aetna
Refraction
Whether we are performing a routine eye exam or a medical eye exam we want to be sure we do a complete workup for you. A complete workup usually includes a refraction (a test for best vision). The refraction is NOT covered by most insurances. Thus, even if you are here for a medical reason, your insurance may not cover the vision test. So, you will be responsible for any charges incurred.
Payment
Payment is due at the time that services are rendered. Please be prepared to pay your portion of the examination charges. For your convenience our office accepts cash, checks, VISA, MasterCard, Discover and American Express.
Covered and non-covered expenses vary from plan to plan. In most cases, we will file your visit with your insurance company. We cannot guarantee that your insurance company will pay for any services rendered.
Medicare is very good health insurance. It covers almost everything in the way of care for your medical problems, but Medicare does not pay for:
- Routine eye exams
- Your annual deductible
- 20% of the cost of the visit
- The test for best vision (refraction)
- Glasses