Welcome to Look + See Vision Care!
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What is the reason for this visit?

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Please select a date and time

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Please enter your personal information

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Are you an existing patient?
If you desire a contact lens evaluation, would this be your first time trying contacts?

Please Enter your Medical Insurance Information

BlueCrossBlueShield, United Healthcare, Cigna, Aetna, etc

Medical Insurance will be DIFFERENT from Vision Insurance (next screen)
Enter "Cash Pay" in the next 2 boxes if not using insurance
Who is the primary insured party?

Please Enter Your Vision Insurance Information

Medical insurances typically outsource vision to a group such as VSP, Eyemed, Spectera, Superior, etc.

Vision Insurance will be DIFFERENT from Medical Insurance (previous screen)
Skip this screen if you are CASH PAY and not using insurance
Who is the primary insured party?

Review and Submit

Please review then click submit.

We are currently limiting the number of patients in office. We kindly ask that you provide us a 2 business day notice for any changes or cancellations so that we may have the opportunity to fill your spot. We reserve the right to charge $50 for any no show or cancellation without a 2 business day notice.
Thank you for your understanding.

After you review and submit below, please check your email for more information regarding your appointment and our office policies.

You MUST submit the online registration paperwork before your appointment is confirmed.

  • 1. Personal Details
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  • 2. Appointment details
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