Patient Forms

Save time and fill out forms before your first appointment ! You can submit directly online or print out the form, fill it out, and e-mail it to staff@woodleyoptometry.com or simply bring it in to your appointment.

Patient history form (new patients)

Private policy

Financial Policy
 

Payment Options

We accept most major vision and medical (PPO) insurance plans. Please contact your insurance company for details regarding covered services. Currently, we accept the following insurances:

Vision insurances:​

  • EyeMed

  • Vision Service Plan (VSP)

  • Medical Eye Services (MES)

  • Davis Vision

  • Tricare
     

Medical insurances:

  • Aetna PPO

  • Anthem Blue Cross PPO

  • Blue Shield PPO

  • Cigna PPO

  • Health Net Federal Services (TRICARE West)

  • Medicare (PPO only)

  • Medi-Medi
     

Other Payment Options:

  • Care credit - special financing options with 0% interest!

    • With CareCredit you can choose to reserve your cash and free up your general-purpose credit cards for other expenses. Once you have CareCredit, you can use it as often as you want, without reapplying, as long as you have available credit.​

  • We accept all major credit cards including Visa, MasterCard, American Express, Discover

  • We will honor a 50% cash discount for patients who have HMO and need medical eye services