Patient Center

Patient forms

Save time in the waiting room! Please print and complete the following forms before your appointment, and bring them with you to your appointment.

All patients:

Please print the following for your records.

Disclosure of service suppliers most often used by patients of ECVA.

Note: ECVA has no relationship with any of these service suppliers. Patients are free to choose from any supplier.

Billing and insurance

We participate with most insurance plans. However it is your responsibility to understand whether your insurance has limits on the doctors you can see, or the services you can receive.

If you provide complete and accurate information about your insurance, we will submit claims to your insurance carrier and receive payments for services. Depending on your insurance coverage, you may be responsible for co-payments, co-insurance, or other deductible amounts.

We participate with VSP® Direct and EyeMed Vision (Most Plans).

Please contact our billing office 716.631.8888, ext. 435, or call your insurance carrier should you have questions.

We accept cash, check, Visa, MasterCard, American Express and Discover. And we’re pleased to offer online bill payment for your convenience.

Financing

Eye Care & Vision Associates accepts CareCredit, a healthcare credit card designed exclusively for financing healthcare services for you or your family.

HEALTHeLINK

Eye Care and Vision Associates LLC is a proud participant of HEALTHeLINK, a collaboration among hospitals, physicians, health plans and other health care providers in the eight counties of Western New York to securely exchange clinical information to improve the quality of care, enhance patient safety and mitigate health care costs.