Patient Information

We currently participate with the following insurances:

• Aetna
• Blue Shield
• Capital Blue Cross
• Cigna
• Eye Med (Excluding Select plans)
• Health America/Assurance
• Medicare
• MetraHealth/Railroad Medicare
• PHCS
• South Central Preferred/PPHN
• Sterling Insurance
• VBA
• VSP

Patient Forms:

• Patient Information Registration Form
• Insurance Signature On File
• Review of Systems Form
• Visual Lifestyle Questionnaire
• HIPAA Acknowledgement Form
• HIPAA Notice of Privacy Practices