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病人質料表格
Please bring your insurance or health coverage card(s), a list of any eye drops or other medications that you are currently using and your eyeglass and/or contact lens information (bottles or boxes in which the contact lenses are packaged) when you come for your appointment.
Any required co-payments and deductibles will be collected from you as indicated by your health plan. Payment is requested at the time of the visit for any co-payments, deductibles, or services not covered by your health care plan. Payment may be made by cash, check, MasterCard, Visa or American Express.
Many health care plans require the patient to obtain a referral from their primary care doctor for every visit to the specialist, including follow up visits, and we cannot bill your insurance company for our services if you do not provide us with this referral. Your doctor may mail or fax the referral directly to us, or you can bring it with you.
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