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.

Online Forms

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

    • AARP Health Care Options
    • Aetna
    • Anthem Blue Card
    • Anthem Blue Cross Blue Shield
    • Anthem BC/BS PPO
    • Anthem Vision
    • BC/BS Federal
    • BC/BS Local and other states
    • CHAMPVA
    • Cigna
    • Dept of Veteran’s Affairs
    • GEHA
    • Golden Rule
    • Medicare
    • Optum Health (formerly Spectera)
    • Rocky Mountain Health Plan
    • Rocky Mountain UFCW
    • Rocky Mountain UFCW/Vision
    • Secure Horizons Direct
    • Secure Horizons/Eye Specialists
    • Secure Horizons Supplemental
    • Tricare Prime and Standard
    • Zenith Administrators


    *Please call our office at 719-282-0400 if your insurance is not listed above.

    We accept Cash, Check, Visa, MasterCard, American Express, Discover, Care Credit, 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!