EYEXAMOF CALIFORNIA SMA LICENSED VISION HEALTH CARE SERVICE PLAN
We use phone calls and text messages to remind patients of their appointment.We will use the phone number you provide and the call may be live or prerecorded.
We will file an Insurance claim for any plan under which we are providers. If you have a question about which plans for which we are providers, please ask the receptionist or call our office. Payment is expected at time of treatment.
The information that I have provided above is accurate and complete to the best of my knowledge. I acknowledge that I have received a copy of the EYEXAM of California Combined Individual Membership Contract, Disclosure Form, and Evidence of Coverage.