Optique Boutique 20/20 Medical History Form (pdf)
Signature on File (pdf)
Patient Consent Form (pdf)
Patient Appointment Checklist:
Do you have a fever or cough?
Loss of taste or smell?
Have you been tested for COVID 19? If so, were results positive or negative?
Signs or symptoms of respiratory illness?
Close contact with with a confirmed or suspicious case of COVID 19?
**MASKS REQUIRED FOR ALL PATIENTS
We accept the following insurance coverage:
- Aetna HMO and PPO
- Amerihealth NJ and HMO
- Davis Vision
- Horizon BCBSNJ
- Independence BCBS NJ, PA
- Keystone Health Plan East
- Medicare Advantage
- Medicare NJ
- NJ Direct BCBS
- Oxford health Plan
- United Healthcare
We accept the following payment types:
Check, Cash, Debit, Visa, Mastercard, American Express, and Discover