Viking Vision Center

Home
Office Forms
Services
Doctors
Our Staff
Insurance
Directions
Patient Resources
Vision Library
Video Clips
Contact Us
Rebate Links

Click on the links below to download the following forms:

All forms require Adobe Reader to open. If you need to download the free Adobe program click here.

1. Viking Vision Center Financial Policy

2. Front Page of Patient History Form

3. Back Page of Patient History Form

Please print out and review our office financial policies and  fill out completely the patient history form ( both pages) prior to your arrival in our office.  Be sure to bring all vision and medical insurance information with you at the time of your exam.  If we are unable to verify your coverage, you will be responsible for all charges until verification can be obtained and a refund will then be issued.

home

Viking Vision Center, Ashville, Ohio  43103