Forms & Insurance

Online Forms

Speed up your visit by completing the necessary form(s) below. For your convenience, you can either fill the form(s) out online or download and print the form(s) and bring it with you to your appointment.

Medical History - Download & Print

Patient Intake - Download & Print

Financial Policy - Download & Print

Acknowledgement of HIPAA Privacy
Download & Print

Cancellation / No Show Policy
Download & Print

Optomap - Download & Print

Participating Insurances

  • Eyemed
  • VSP
  • Davis
  • NVA
  • Avesis
  • Heritage
  • Zenith Admin
  • Medical Eye Service
  • Tricare
  • Cigna Vision

We accept Cash, Check, Visa, MasterCard, American Express, Discover, Flexible Spending Plans, and Health Savings Accounts (HSA).

Satisfaction Survey

At Bettner Vision, we believe in continual improvement of our services. Please take a few moments and share your experience with our office. We appreciate your feedback!

Leave Feedback
Check out our reviews on Yelp!