New Patients

Patient Forms

Below is our New Patient Package that you will need to complete on your first visit. You can expedite matters by downloading the package, completing it at home and handing it to our staff when you arrive for your initial visit to our office.

• Patient Registration
  Form
• Sensory Motor & Vision Therapy Evaluation

Insurance List

• Aetna
• Cigna
• Eyemed
• Horizon BC/BS
• Medicare
• Vision Services Plan

Insurance Co-Pays

You are responsible for paying co-pays on the day of service, per your insurance contract.

Bad Checks

We will charge a $35.00 fee for bad checks received.