Patient Forms: Please present these completed forms, ID, and Insurance cards during check-in.
3. Authorization For Release of Medical Records: Please submit this form with your current provider so we can review your history before the appointment.
Referral Process: If your insurance require referral prior seeing a specialist, please request your primary care physician (PCP), optometrist, and other referring physicians, nurses, clinics to complete the Referral Form.
Questions to Clinical Staff: If you are an established patient, please use the patient portal to message the clinical staff questions about your care. Refer to the initial patient portal setup email to obtain your login credential. Patient Portal Link
Rx Prescription: Please request your pharmacist to fax request to 888-959-8367. We can not accept phone prescription request.
Release of Medical Records: If you need a copy of your clinical records, please have the requesting physician fax a request to 888-959-8367.
Vision Plan: Our office only participate with VSP vision plan and the staff can submit claim directly to VSP on your behalf. For other vision plans such as Eyemed, Spectera, March … we will provide statements so you can submit the claims to your insurance. (Please note that we are not VSP Herslof providers. )