top of page
IMG_5908.jpg

 Patient Forms 

New patients may print and complete these forms to bring to their first visit. If you are unable to print them, we have them available at the office when you check in.

Patient Information 


Notice of Financial Policy


Notice of Privacy Practices 


HIPPA Policy 


Release of Medical Information  


Patient Info

Insurance and Payment Options

Accepting Most Insurance Plans

As medically trained ophthalmologists, we are unable to accept any vision plans in our clinic or optical shop. However, most patients do have an eye-related diagnosis for which regular medical insurance will cover the visit (ex: cataracts, glaucoma, diabetes, dry eye, eye allergies, etc). If you are trying to use your vision plan for an eye exam and/or glasses, check with your plan for a list of covered providers in the area.

Call to see if we accept your insurance.

BCBS.jpg
WellMed-Horz_4C logo.jpg
United-Healthcare-Logo.jpg
BSW.jpg
aetna-1-logo-png-transparent.png
TriCare-For-Life-Logo.jpg
Contact us

Visit Us

Monday-Friday: 8am to 5pm
Saturday: Closed
Sunday: Closed

4200 Ambassador, Waco, TX 76712

Phone: 254-756-4457

Fax: 254.756.1718

bottom of page