patient forms
EASy and CONVENIENT PDFs for download / Get Acrobat
We encourage you to fill out both your “patient Information” and “Medical History” forms prior to your visit. Simply click on the links provided and they will download in a convenient PDF format. If you have any trouble with downloading the forms and have questions, please call us at (863) 644-6455.
Notice of Patient Nondiscrimination
-------------------------------------------------------------–––––––––––----
faq
WE ANSWER YOUR FREQUENTLY ASKED QUESTIONS
We have all been told by someone at some time, “You’ll hurt your eyes if you do that!” But do you really know what is or is not good for your eyes? Test yourself with the following true or false statements and see how much you know about your eyes.
SCHEDULE YOUR APPOINTMENT
(863) 688-5604
From cataracts to contacts, we offer the complete eye care you’ve been looking for. With three convenient locations and a surgery center, it’s never been easier to improve the way you look or see.
-------------------------------------------------------------–––––––––––----
we ACCEPT MANY TYPES OF INSURANCE
OUR COMMITMENT TO YOU
Lakeland eye Clinic accepts many types of insurance. Whether you have Medicare, managed care or private insurance, it's likely that your insurance will cover all or some of the services you receive. We also offer a variety of payment options to patients when insurance is not available or does not apply. Patients who come to us for elective surgery or out of their health plan network are encouraged to discuss these options with our staff.
There is no question that access to quality healthcare is crucial. Whether you’re a single professional or raising a growing family, the rising cost of health care and insurance leaves many people wondering whether they can afford to protect themselves in the event of sickness or injury. Lakeland Eye Clinic is committed to working with as many health Insurance companies as is financially feasible in order to make sure you get the care you need.
EYE CARE FACTS + MYTHS
READING IN DIM LIGHT IS HARMFUL TO YOUR EYES
FALSE
Using your eyes in dim light does not damage them. For centuries, all nighttime reading and sewing was done by candlelight or with gas or kerosene lamps. However, good lighting does make reading easier and can prevent eye fatigue.
USING COMPUTERS CAN DAMAGE YOUR EYES
FALSE
Working on computers or video display terminals (VDTs) will not harm your eyes. Often, when using a VDT for long periods of time, just as when reading or doing other close work, you blink less often than normal. This reduced rate of blinking makes your eyes dry, which may lead to the feeling of eyestrain or fatigue. Try to take regular breaks to look up or across the room. Looking at objects farther away often relieves the feeling of strain on your eyes.
Keep the monitor between 18 to 24 inches from your face and at a slight downward angle. Also consider the use of artificial tears. If your vision blurs or your eyes tire easily, you should have your eyes examined by an ophthalmologist.
WEARING THE WRONG KIND OF EYEGLASSES DAMAGES YOUR EYES
FALSE
Eyeglasses are devices used to sharpen your vision. Although correct eyeglasses or contacts help you to see clearly, wearing a pair with the wrong lenses, or not wearing glasses at all, will not physically damage your eyes. However, children less than eight years old who need eyeglasses should wear their own prescription to prevent the possibility of developing amblyopia or “lazy eye.”
LEARNING DISABILITIES ARE CAUSED BY EYE PROBLEMS
FALSE
Difficulties with reading, mathematics, and other learning problems in children are often referred to as learning disabilities. There is no strong evidence that vision problems cause learning disabilities or that eye exercises cure learning problems.
Children with learning difficulties often need help from teachers and people with special training. Before such treatment begins, it is important for the child to have a complete medical eye examination to make certain he or she is seeing as well as possible.
EYES CAN BE TRANSPLANTED
FALSE
Medical science has no way to transplant whole eyes. Our eyes are connected to the brain by the optic nerve. Much like a fiber optic cable, the optic nerve is made up of more than one million tiny nerve fibers. This nerve cannot be reconnected once it has been severed.
Because of this, the eye is never removed from its socket during surgery. The cornea, the clear front part of the eye, has been successfully transplanted for many years. Corneal transplant is sometimes confused with an eye transplant.
SITTING CLOSE TO THE TV CAN DAMAGE CHILDREN’S EYES
FALSE
Children can focus at close distance without eyestrain better than adults. They often develop the habit of holding reading materials close to their eyes or sitting right in front of the television. There is no evidence that this damages their eyes, and the habit usually diminishes as children grow older. Children with nearsightedness (myopia) sometimes sit close to the television in order to see the images more clearly.
EATING CARROTS IMPROVES YOUR VISION
FALSE
Carrots are rich in vitamin A, which is essential for sight, but many other foods also contain this vitamin. A well-balanced diet, with or without carrots, provides all the vitamin A necessary for good vision.
PEOPLE WITH WEAK EYES SHOULD AVOID READING FINE PRINT
FALSE
It is said that people with weak eyes or people who wear glasses will “wear out” their eyes sooner if they read fine print or do a lot of detail work.
A CATARACT MUST BE ‘RIPE’ BEFORE IT IS REMOVED
FALSE
With older surgical techniques, it was thought to be safer to remove a cataract when it was “ripe.” With today’s modern surgical procedures, a cataract can be removed whenever it begins to interfere with a person’s lifestyle. If you are unable to see well enough to do the things you like or need to do, you should consider cataract surgery. Surgery is the only way to remove a cataract.
CONTACT LENSES CAN PREVENT NEARSIGHTEDNESS FROM
GETTING WORSE
FALSE
Some people have been led to believe that wearing contact lenses will permanently correct nearsightedness so that eventually they won’t need either contacts or eyeglasses. There is no evidence that wearing contact lenses produces a permanent improvement in vision or prevents nearsightedness from getting worse.
ALL EYE DOCTORS ARE THE SAME
FALSE
An ophthalmologist is a medical doctor (M.D. or D.O.) with special training to diagnose and treat all diseases of the eye. To become an ophthalmologist requires a minimum of eight years of medical school and hospital training after college. An ophthalmologist is qualified to provide all aspects of eye care, including cataract, laser, and other eye surgery.
Optometrists (O.D.) and opticians are other types of eye care professionals. They are trained and licensed to provide some aspects of eye care, but they are not medical doctors and have not attended medical school and residency training. In most states, they cannot prescribe all medications or perform surgery.
CareCredit
By accepting CareCredit®, you no longer have to wait to get the attention you deserve, we invite you to apply online, over the phone, or come into our office and we will be glad to help you. We want to make your appointment as pleasant as possible, so to help us best accommodate you, please bring your most recent insurance card(s) and any required referrals. It is the policy of this office to expect payment for services as they are rendered.
We will be happy to file a claim to your insurance, provided we participate with your plan. We participate with many medical plans and are Medicare providers. For additional information concerning accepted health care insurance plans, please refer to the list on the right side of this page. Should you have any questions regarding your plan, please contact us.
We also accept many vision plans for your routine eye care. In addition, we accept Visa, MasterCard, Discover, and are members of CareCredit®.
Insurance Providers
WE ARE APPROVED PROVIDER FOR MOST INSURANCE PLANS
Most insurances (Medicare, Blue Cross, etc. ) cover eye and hearing evaluations with a doctors order. We also accept Medicare insurance. This means that our hearing specialist will call your doctor to get the order for a hearing test and bill Medicare for the hearing evaluation (you will only be responsible for what Medicare does not cover).
Please contact one of our dedicated financial counselors for any insurance or billing questions. The following is a list of current Health Insurance companies, with whom we work. Please check the list and see if your company is included. Please call us if you have any questions.
Aetna
Aetna Better Health
Coventry
First Health
GEHA
Avmed
Avmed State Employee
Argus
Freedom Health
Optimum Health
BayCare Plus Medicare Advantage
Blue Cross Blue Sheild of Florida
Network Blue
Health Options
HMO
Medicare PPO
Medicare HMO
Cigna
Envolve / Sunshine
EYEQUEST/Simply Medicaid
Simply Health Medicaid
Americgroup
Clear Health Alliance
Florida Healthy Kids
Better Health
Humana
Humana Commerical
Humana Medicare PPO
Medicaid of Florida
Medicare
Multi Plan
PHCS
Molina
Premier Eye Care
Premier Staywell
Premier Devoted
Premier Humana Medicaid
Premier Simpley Medicare
Premier Wellcare
Polk HealthCare Plan
Tricare
TRI-WEST
UnitedHealthcare
AARP® MedicareComplete® Plans
UnitedHealthcare Dual Complete® Plans
UnitedHealthcare® Group Medicare Advantage Plans
All Savers® Health Plan
UnitedHealthcare® Choice and Choice Plus
Golden Rule
Preferred Care Partners
UMR
WellMed
© 2015-2022 Lakeland Eye Clinic. All rights reserved.
All information and content on this site are protected by copyright. Users are prohibited from modifying, copying, distributing, transmitting, displaying, publishing, selling, licensing, creating derivative works, or using any information available on or through the site for commercial or public purposes.
Site design, development and hosting overseen by Jonathan & Co.
main office
(863) 688-5604
1247 Lakeland Hills Blvd
Lakeland, FL 33805
south office
(863) 644-6455
4708 S Florida Ave
Lakeland, FL 33813
pediatric office
(863) 262-3111
1243 Lakeland Hills Blvd
Lakeland, FL 33805
schedule an appointment
(863) 688-5604
M-F 8a-5p | Evening Hours Avail. | Email
© 2015-2022 Lakeland Eye Clinic. All rights reserved.
All information and content on this site are protected by copyright. Users are prohibited from modifying, copying, distributing, transmitting, displaying, publishing, selling, licensing, creating derivative works, or using any information available on or through the site for commercial or public purposes.
Site design, development and hosting overseen by Jonathan & Co.
like and review
main office
(863) 688-5604
1247 Lakeland Hills Blvd
Lakeland, FL 33805
south office
(863) 644-6455
4708 S Florida Ave
Lakeland, FL 33813
pediatric office
(863) 262-3111
1243 Lakeland Hills Blvd
Lakeland, FL 33805
schedule an appointment
(863) 688-5604
M-F 8a-5p | Evening Hours Avail. | Email