To make your visit at Chicopee Eyecare go as smoothly as possible, it would be helpful to bring the following information with you:
- Patient and Insurance Information Form - download here.
- Authorization to Release Information Form.
- Refraction Policy Form - download here.
- Patient Financial Agreement Form - download here.
- Hippa form - download here.
- Your glasses and contact lens prescription if possible.
If you have been sent to us by another office, please let us know so that we can promptly send a report to your doctor. Sometimes repeated office visits will require the patient to obtain a referral from their primary care provider so please call your doctor or insurance company to help us comply with their rules.