Patient Forms

Download Important Patient Forms Below

Arizona's Vision is always happy to accept new patients and appreciates the many referrals from our current ones. We accept many types of insurance with the Vision Service Plan (VSP) coverage being the most common coverage.  We also accept EyeMed and Avesis for eye care.  We also take Blue Cross Blue ShieldMedicareAetna, as well as some Cigna and various other Health Insurance Plans.  Please call with your insurance information to verify coverage.

Information for New and Returning Patients

If you are a new patient, or a returning patient with outdated address, insurance, or medical information, or have a child who is a patient, you may wish to download one of the forms below, complete the questions before your arrival, and bring the completed form to your appointment. Please review our Terms of Use and Privacy Policy for notice of privacy practices in place at Arizona's Vision.

What to bring with you to the exam

  • Your medical insurance card (it is different than vision insurance)
  • Your old or current eyeglasses
  • Any eyedrops you regularly use
  • A list of your medications Your sunglasses. We can check to see if they have enough UV protection. If you would like computer glasses, measure the distance between the computer screen and your eyes.

For contact lens wearers:

  • If you are a new patient and wear contact lenses, bring in the contact lens packaging or boxes with contact lens brand, power and base curve (BC).
  • If you ran out and do not know your power, call your previous office and ask them to fax/email it to us.
  • Bring your contact lenses in if you want to update/order contact lenses.
  • Don’t forget to bring in back-up pair of eyeglasses.
  • Bring in all the bottles you clean and soak your contact lenses.