New patients should download the forms below (which can be viewed with the free Adobe Acrobat Reader program.) Please print these out, fill them in, and bring them to your first appointment.

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?

We accept the following insurance coverage:

  • Aetna HMO and PPO
  • Amerihealth NJ and HMO
  • Cigna
  • Davis Vision
  • Eyemed
  • Horizon BCBSNJ
  • Independence BCBS NJ, PA
  • Keystone Health Plan East
  • Medicare Advantage
  • Medicare NJ

  • Meritain
  • NJ Direct BCBS
  • NVA
  • Oxford health Plan
  • Starmark
  • UMR
  • United Healthcare
  • VBA
  • VSP

We accept the following payment types:

Check, Cash, Debit, Visa, Mastercard, American Express, and Discover