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  • Confidential Patient Information

    Please complete the HIPAA compliant form below.
  • Covid-19 Response

    For the safety of our patients and staff, please follow social distancing protochols, wash your hands upon entry, and wear your facemask. No food or drink is permitted in the office. We are limiting visits to patient only, unless patient is a minor or a caregiver is needed to offer assistance.

  •  -
    • Vision change
    • Floaters
    • Flashes
    • Red Eye
    • Dry Eye
    • Watery Eye
    • Burning
    • Soreness
    • Sandy/Gritty
    • Mucus Discharge
    • Eye Pain
    • Foreign Body Sensation
    • Sty or Chalazion
    • Light Sensitivity
    • Droopy Lids
    • Double Vision
    • Glaucoma
    • Macular Degeneration
    • Retinal Detachment
    • Allergies
    • Asthma
    • Headaches
    • Arthritis
    • MS
    • Thyroid
    • Diabetes
    • Lupus
    • High Blood Pressure
    • Heart Problems
    • Kidney Disease
    • Weight Loss or Gain
    • Cancer
    • Other
  • Insurance Information/Policy Holder

  • We accept the following insurance plans: Aetna, Blue Cross Blue Shield, Blue Med, Coherent, Community Eye Care, Eye Med, Health Team Advantage, Medicare, Medicare Complete, UMR, and VSP. Please list your insurance provider.

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