If you are an established patient in our practice, and have already completed a privacy acknowledgement and policy form, the only form you may need to complete is an updated insurance form.

Even though you may retain the same insurance coverage through the same carrier as last time, the group numbers and ID numbers often change from one year to the next.  If you were issued new cards by your employer this year, chances are you will need to update your insurance information.  Please download the form, fill it out and bring it with you to your appointment.

Family Vision Center of Porter and Crosby Insurance Authorization Information


ins_infoUpdate your insurance information