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.
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
- Jimmy Choo
- Juicy Couture
- Kate Spade
- Lily Pulitzer
- Salvatore Ferragamo
Crizal High index, progressive and regular
Essilor High index, progressive and regular
- Bausch & Lomb
- Maui Jim
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.
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.