Shane Retina Patient Forms and Insurance Information

Patient Forms and Insurance Information

Retina Care Clinic | Eye Doctor Treating Young PatientConsult Request Form (referring physicians):

New Patient Form:

Online Payment Form:

Pay Now

Insurance Information
We strive to meet all insurance requirements for billing, pre-certifications, referrals, and reference labs.

We participate in most insurance plans, including Medicare, Aetna, BlueCross BlueShield, Tricare, Humana, United Healthcare, and Cigna.

We do not participate in Freedom, Advantica, BlueCross BlueShield HMO, or Medicaid insurances.

Same day appointments are available.

Credit cards and personal checks are accepted.