Patient Information and Forms

Optometrist assisting woman

You're in safe hands with Jackson Vision.

We always protect your privacy


We know how important it is for you to keep your information private. We do not release any medical information about you or your loved ones unless you specifically request us to do so.

 

We follow all HIPPA guidelines and regulations and make patient privacy our number one concern.

 

Put your trust in Jackson Vision for expert eye care, helpful staff, and patient confidentiality.

 

Our HIPAA policy is available upon your request at our office.

Are you a new patient?

If you are new to Jackson Vision or you've recently made changes to your insurance provider, personal information, or are suffering from an illness we should know about, arrive at least 15 minutes early to your first or next appointment.



We have a variety of patient forms to completely ensure we have the right information on file for you. These forms aren't long, but arriving early will help us make sure you're in and out as quickly as possible. If you prefer, you can download these forms and complete them before you arrive at your appointment. Please click links below.

JV patient History Questionnaire

Jackson Vision Financial Policy Release of Information 2014

We accept most insurance plans. For a complete list or to see if your insurance provider is accepted, please feel free to call and speak with us!

 

We have flexible scheduling options for you and your family. Call and speak with our friendly receptionists today and schedule your next visit.

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