Welcome To Our Office Form
Non-VSP Patients.
If you are not a VSP member, please fill out the form in the link above.
VSP- Welcome To Our Office Form
VSP Members ONLY
-VSP requires that patients use VSP’s own form in the link above.
Insurance Inquiry Form
We understand that there a other vision insurances out there. Please fill out this form and if possible email or faxed us a copy of completed “Insurance Inquiry” form. We will try our best to help you find out coverage from your insurance.
Fax: (310) 534-6412