Online Forms

Please print this page, complete, and bring with you to the office for your examination. Kindly bring your medical insurance card and any vision care coverage information that you may have. Many ocular exams are covered by your medical insurance if any medical diagnosis conditions are detected at the time of the exam.

Items to bring to appointment on date of examination include:

• Insurance card(s)

• Eyeglasses

• Contact lens information/boxes

• List of medications

• Completed medical history form (available below)

Patient Information- New Patient Form

Payment Options

At Zeser Family Eyecare, our mission is to provide quality service and products at reasonable pricing. We accept the following payment methods:

• Cash

• Check

• Visa, Mastercard, Care Credit

• Flexible Spending Plans

• Health Savings Accounts (HSA)

Participating Insurances

We participate with most VSP, EyeMed, Medicare, UHC, Anthem, Tricare, Humana, Aetna, and various other insurance companies. Please call our office if you have questions regarding insurance. Check with our staff if you have other types of coverage.