ADVANCED RETINAL DIAGNOSTICS(ARD)- $69 ($306 value)will be added to today's visit.

We take preventative eye care very seriously. For early detection of CONDITIONS THAT MAY BE SIGHT THREATENING, ALL PATIENTS WILL HAVE THE ARD PERFORMED during the exam. The ultra-widefield retinal imaging by Optos California and the cross-sectional optical coherence tomography by Optovue Avanti iWellness are essential for early detection of disease and prevention of vision loss. These tests are non-invasive and will not cause blurry vision. This service is NOT included with your vision plan exam, however they are included with our wellness exam at no additional fee. The ARD is an upgrade from what VSP refers to as “Retinal Imaging.”

Patient Agreements

At Ocean Park Optometry, we value your privacy and protect your health information. Please review our Notice of Privacy Policy.

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• I acknowledge receipt of the Notice of Privacy Policy.
• I have reviewed the Fees.
• I acknowledge full financial responsibility for all charges incurred by me for services and products, regardless of insurance.  
• I understand that in order to use my benefits, I must provide all necessary information regarding my insurance prior to my services or purchases.
• I understand that my insurance company does not guarantee any payment, even with prior authorization, and that my insurance company may deny payment when the claim is processed.
• I understand that payment of the portion of the charges not covered by insurance, including deductibles, co-pays, overages, and all prior balances, is due at the time of service.
• I authorize insurance payments to be made directly to Ocean Park Optometry.
• I understand that there will be a $75 no show fee for appointments not kept without a minimum 48 hours prior notice.  For Neurovisual examinations, a $150 no show fee will apply if a 1 week prior notice is not given.
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