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Patient Center

Online Forms

Speed up your visit by completing the necessary form(s) below. For your convenience, you can either fill the form(s) out online or download and print the form(s) and bring it with you to your appointment.

Printable Forms

Medical History Questionnaire - Download & Print

Symptom Checklist - Download & Print

Vision Symptom Survey - Download & Print

Online Forms

Medical History Questionnaire - Submit Online

Vision Symptom Survey - Submit Online


Payment Options

Sibley Eye Care believes in the value of eye care for you and your family. We have products and pricing to accommodate all budgets. Our office participates in most insurance programs. For patients who have little or no vision insurance coverage, flexible payment programs (Alphaeon and Care Credit) can be arranged. To learn more about our payment options, please call our office directly.

Our office accepts cash and all major debit and credit cards including MasterCard, Visa, Discover, and American Express.

Don't forget to use your:

  • Flexible Spending Plans
  • Health Savings Accounts (HSA)
  • Medical Savings Accounts (MSA)
  • Cafeteria Plans for most of your eye care needs

All of the above plans can be used for all your eye care and eyewear needs, including eyeglasses, contact lenses, routine office visits and medical office visits.

Insurance
Most insurance plans are accepted at our office. Since there are so many plans and coverage varies widely, please call us to find out if your plan covers care in our office.

No Insurance
For patients who have little or no vision insurance coverage, flexible payment programs can be arranged. If you have no insurance or do not have vision benefits there is still a way for you to receive the care you need. To learn more about our payment options, please call our office directly.