PLEASE BRING INSURANCE CARDS TO APPOINTMENT.
I authorize the release of any medical or other information necessary to process insurance claims. I also request payment of benefits either to myself or to the party who accepts assignment. I understand that I am responsible for any balance due for services and/or products that are deemed "not covered" or denied or delayed (over 60 days) by my benefit plan.
All EyeCare Services
At Family Vision Solutions, we provide the highest quality eye care to all our patients. Schedule your appointment today.
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