Patient Center Forms
Because we like to spend as much time as possible with your during your exam, we would appreciate it if you could please fill out the appropriate forms completely before your arrival.
For Regular Eye Exams (nearsightedness, farsightedness, astigmatism, or eye glasses):
Regular Eye Exam
For a Visual Skills Exam (no history of brain injury) (for visual symptoms or vision-related learning problems):
Visual Skills Exam – No Brain Injury
For a Visual Skills Exam (history of brain injury) (for those with trauma, mold exposure, toxin exposure, or who have had a stroke):
Visual Skills Exam – Brain Injury
Insurance
Arizona Vision Therapy Center does not participate with any medical insurance plans. We feel that our time is best spent focused on our patients’ care and wellbeing than on the endless red tape required by many insurance plans. However, we will provide you with the necessary invoices to file with your medical insurance company to receive reimbursement.
Payment Plans
Realizing that the cost of vision therapy may be a financial burden for some families, we offer a variety of different payment plans that can help meet your financial needs.
CareCredit
Arizona Vision Therapy Center has made special arrangements with CareCredit. Please do not hesitate to discuss this with our front office staff. We are more than happy to assist you in any way. If you have any further questions, please call the office at (520) 886-8800.
Our caring and highly-trained vision experts are here to help.
Referrals
We thank you for the concern you are showing your patient / student. We would like to make it easy for you to refer them to us. See our referral form below.