Currently, we accept the following insurance carriers related to
ophthalmology, refractive surgery, and/or vision care:

• Aetna PPO
• Avesis Vision
• Blue Cross PPO
• Blue Shield PPO
• Cigna PPO (only Open Access Network Plans)
• Davis Vision (LASIK only)
• Eye Med
• Healthnet PPO
• Medicare
• Medical Eye Services
• Pacificare PPO
• Spectera
• Tricare
• United Healthcare EPO, POS, and PPO
• VSP (LASIK only)

We accept all PPO insurances plans, however, verification of benefits is
required before your visit. Please provide the staff with the necessary
information.

We are continuously adding insurance carriers and encourage you to call the
toll-free number to obtain the most current list of insurances accepted.

Ophthalmology Forms

The attachments below are the most commonly used medical forms at Advanced Ophthalmology Institute. You can download any form needed as a PDF file for your upcoming scheduled appointment.

Patient Forms:

Patient Information Sheet - LASIK Consultation
Patient Information Sheet - General Ophthalmology Exam
Patient Insurance Authorization Form for General Exam
Pre-operative Instructions for LASIK/PRK/Intralase
Post-operative Instructions for LASIK
Post-operative Instructions for PRK
Post-operative Instructions for Intralase LASIK
LASIK Consent
PRK Consent
Intralase LASIK Consent
Medical Records Release to AOI
Medical Records Release from AOI

Optometry Co-management Forms:

Pre-operative Examination Sheet
Post-operative Examination Sheet
General Examination Sheet

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