New Patient Forms
Please print and fill out the following forms prior to your appointment:
- IVT Policies
- Records Release Form – if you have records from other providers for Dr. Carter to review
- Convergence Insufficiency Visual Symptom Survey – for children or adults with learning challenges
- Brain Injury Visual Symptom Survey – for head trauma / brain-injured patients
- IVT Services – for a list of our most common services and prices
Insurance
Our office is out of network with all insurance plans. Most plans do allow us to bill for the appointment, but Medicare and Medicaid do not. If you have one of these insurance plans, please print and fill out the appropriate out-of-network form prior to your appointment:
Payment Methods
Our office takes cash, personal checks and credit cards: Visa, Mastercard, Discover and American Express. We also offer Care Credit, which may allow patients more time to pay their balance. In addition, patients may utilize their Health Savings Accounts (HSAs) or Flex Spending Accounts (FSAs) to pay for their examinations and vision therapy.