Info & Forms



The following forms can be downloaded to your computer and printed at home. By filling out these forms ahead of time, you will help us ensure that we are able to see all of our patients in a timely manner. If you have any questions when filling out these forms, please do the best you can and our staff will assist you on the day of your visit.

Surgery Information and Forms

Amsler Grid

Payment:

We accept the following forms of payment for services:

  • Cash
  • Checks
  • American Express, Discover, Visa & Master Card
  • Insurance billing

Insurance:

We accept most major insurance plans. If you do not see your plan listed here, please contact our office to verfiy whether we accept your insurance. Additionally, insurance plans vary, please contact your insurance company for coverage and referral information.
  • Aetna
  • Cigna
  • Premera
  • Lifewise
  • Regence Blue Shield
  • Blue Cross Blue Shield
  • First Choice
  • Swedish Medical Center Insurance (First Choice)
  • Providence Medical Center Insurance
  • Great West
  • Humana
  • L&I
  • United Healthcare
  • Group Health (referral required for In Network Benefits)
  • Medicare (and all secondary insurances)
  • Northwest Benefit Network
  • Secure Horizons (all plans other than “Direct” require referral)
  • Tricare (referral required for active duty)
  • US Family Health Plan (referral required)
  • Teamsters

We are unable to accept the following vision plans:

  • VISION SERVICE PLAN (VSP)
  • SPECTERA
  • UNITED VISION
  • EYE MED VISION PLANS
  • DAVIS VISION
  • REGENCE FEP BLUEVISION
  • CIGNA VISION

Some health plans (such as Premera and Regence) contract their vision benefits out to these companies. Please check with your insurance company if you are unsure.


* We are not currently accepting new DSHS/Medicaid patients without doctor referral*

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