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Carolina Eye Care Patient Center

Forms

You are welcome to print these forms and bring them with you to your first visit.

Scheduling an Appointment

Regular eye exams are important. Schedule yours today by calling us at (704) 864-7789.

Insurance

We take most major insurance plans. If we don’t accept yours, tell us; we may be able to add it. We also accept Medicare and Medicaid.

Missed Appointments

We request at least 24 hours notice if you cannot keep a scheduled appointment so that we may offer that time to another patient. We reserve the right to charge for missed appointments at the rate of $25 per missed appointment. Excessive no-shows may result in dismissal from the practice. Please help us serve you better by keeping your appointments.

Payment

Payment is due when services are rendered. Patients without insurance who pay in full at the time of their visit receive a discount for saving us from having to file for insurance payment. Patients with insurance must pay their co-payments at the time of their visit, along with any other required fees based on their purchased goods and services and their insurance policy. We will then bill their insurance company (and secondary insurance company if applicable) for their part.

We accept MasterCard, Visa, Discover, Cash, Checks and ATM cards.