Patient Center

Patient Forms

Please print and complete the forms included in the packet below and bring them with you to your appointment.

If you need an individual form, please choose one below.

Patient Referral Form for Referring Physicians

Insurances Accepted

We are "in plan" with the following insurance companies:

We also participate with a few vision insurances which allows us to bill your Refraction (the test for your glasses). The charge for this procedure is in addition to your office visit which is billed through your medical policy. This test is Not covered by your medical policy. If vision insurance is something you do not carry, the charge is $25 for the test for glasses. If you have any questions, please feel free to call the office at (734) 522-9630 regarding this matter.