Zionsville Eyecare appreciates our returning patients and values their time. To help facilitate your visit, we are now offering the opportunity to sign the paperwork required for your visit prior to your appointment. Currently, there are three forms we request each patient to sign during their visit:
- Zionsville Eyecare Policy – This form combines our standard HIPAA (Health Insurance Portability and Accountability Act) form about how we may use or disclose your health information and our payment policy which states you are in agreement to be financially responsible for any portion of your visit that insurance does not cover. By clicking on the link, you will be able to download, review, and sign the documents.
- Zionsville Eyecare Optomap – Please complete this form about whether or not you would like to participate in our advanced screening procedure. By clicking on the link, you will be able to download, review, and sign the document.
If you haven’t already done so, please take a moment to register for our Patient Health Portal as well. Our Patient Health Portal will allow you to securely view or download details about your most recently visit. If needed, you may also transit your patient history to another doctor.