Patient Information

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If you or the person you are caring for are new to Sunset Eye Care, we will ask you to complete a patient history form. You may save time by submitting the form online. Please select either English or Spanish using the buttons below.


  If you would rather download a copy of the patient history form and fill it out at home, please open the PDF file and either save it to your computer or print it out using the buttons below.




The cost of routine eye exams can become a real concern, especially for large families. A vision insurance policy can help ease the burden, but it is not the same as health insurance. Medical health insurance plans may cover unexpected eye injuries, conditions, or diseases, but they typically do not cover eyewear, contacts, or other routine vision care services. Because we provide both medical and routine eye care services, we accept a number of insurance plans to help cover the cost. We can help you understand what your insurance will cover and what you may have to pay out of pocket. Below are some of the most popular insurance providers that we accept. If you don’t see your provider listed, you may still have options, so we encourage you to contact us for details.


  • Blue Cross and Blue Shield
  • Medicare
  • Traditional Medicaid/FirstCare STAR Medicaid
  • UnitedHealthcare
  • Web TPA


  • Eyetopia
  • Superior Select Southwest
  • Humana Insight EyeMed
  • VSP

Payment Options

Co-pays and other fees are due at the time of service unless prior arrangements have been made. For your convenience, we accept several methods of payment:site
American Express
* HSA/FSA accounts may be used to pay for glasses, prescription sunglasses, contact lenses or eye exams.