Patient Center

We do our best to simplify your vision care process, without compromising quality. See the patient forms below for your greater convenience. Listings of our eyewear and payment options are available here as well. We’re always adding new eyewear, so please do visit our office to view the latest styles.

Dr. Andy and Gary Fowle

Patient Forms

Please fill out the following form online or by downloading the PDF. Please fax us at 616.866.8694 your printed and completed forms or bring it with you to your appointment.

New Patient Health History Form

Existing Patient Health History Form

Notice of Privacy Practices

Eyewear Brands and Types

  • Calvin Klein
  • Carrera
  • Charmant
  • Chloe
  • Elements
  • Fossil
  • Jimmy Choo
  • Juicy Couture
  • Kate Spade
  • Lily Pulitzer
  • Marchon
  • Nike
  • Penguin
  • Safilo
  • Salvatore Ferragamo

Eyeglasses Lenses

Crizal High index, progressive and regular
Essilor High index, progressive and regular

Contact Lenses

  • Acuvue
  • Bausch & Lomb


  • Maui Jim
  • Nautica
  • Oakley
  • Ray-Ban

Payment Options

We accept most major insurance plans such as VSP, EyeMed, Priority Health, BCBSM and Medicare. With a copy of your health insurance card or your member benefits phone number, we can contact your insurance company to verify your vision coverage.

Our office accepts cash, personal checks, Visa, MasterCard, Discover and Apple Pay.

Remember to use your:

  • Flexible Spending Plans
  • Health Savings Accounts (HSA)
  • Medical Savings Accounts (MSA)
  • Other employer health benefits

All of the above plans can be used for all your eye care and eyewear needs, including eyeglasses, contact lenses, routine office visits and medical office visits.

Care Credit

The Care Credit card is available to help people pay for health care expenses, often with an introductory period that is interest-free. We accept Care Credit for all of our services. To learn more or apply for the card, visit Care Credit here.


We accept VSP, EyeMed, Priority Health, BCBSM and Medicare.

Ask us about our eyewear options specifically covered by Medicare.

We hope this message finds you and yours healthy as the COVID-19 coronavirus impacts our community. Please note that our office will have limited hours going forward. Our office is closed for routine care as required by Governor Whitmer's order. You may call our office from 10 am-noon, Monday - Friday, to answer any questions regarding contact lens supplies, glasses repairs, and eye emergencies. If you have a TRUE eye emergency after these hours please call our office at 616-866-0140 and listen to instructions.

Contact us with any questions. We are here to help you.

IMPORTANT: If you are infected with COVID-19 or think you may have been infected, please contact us before coming in. This way we can instruct you on where to go and how to proceed for the safety of all.

Fowle Eyecare Associates, PLC