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Patient Date of Birth
Why do you need my date of birth? We know that your time is valuable and we want to be sure that your appointment is scheduled with the provider that is best suited to manage your ocular needs. For patients who are under the age of 12, please contact our practice for additional assistance (800) 340-3595.
Our Scheduling Widget will guide you through the appointment scheduling process providing options centered around your specific needs.
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Patient Information
Insurance
- An image of the front and back of your insurance card is preferred to ensure accurate and timely verification of benefits.
- If you choose to enter your insurance details manually, please double-check for accuracy, including member ID, group number, plan name, and the medical claims PO Box (typically found on the back of your card).
- A member of our team will contact you prior to your appointment if you have selected Self-Pay or if additional information is needed to verify your insurance benefits.
Confirmation