Patient Forms

At Leverett Eye Care, we value your time.

Please take a moment to fill out the new patient forms in the following link. Don’t forget and bring your driver’s license and insurance card(s) to your first appointment. Our forms are HIPAA compliant; your information is protected.

If you are an existing patient and have had any changes to your contact or insurance information, please be sure to let us know at your next appointment so we can get a new copy of your driver’s license and/or insurance card(s).

Insurance and Payments​

At Leverett Eye Care, our goal is promote good eye health and enable you to have the clearest vision possible. We accept several types of vision insurance, cash, checks, and most credit cards. We inform our Virginia Beach patients about exam and treatment costs at the beginning of your appointment. If you require a breakdown of costs, please let us know.

Vision Insurance

The knowledgeable staff at Leverett Eye Care is experienced in working with vision insurance providers. We will work directly with you and your vision insurer to submit claims regarding your vision care. We strive to ensure that you understand your insurance coverage and will answer any questions you may have regarding your benefits. Many current vision plans are designed to cover many of the basic vision-related costs, but not all costs associated with eye care. Most plans often require a co-payment for an office appointment as well as additional costs that are covered by the insured patient.

Contact our office at 757-486-2015 to find out if your insurance provider is accepted in our office or for more information about your vision coverage.

Flexible Spending Accounts

Many employers are offering Flexible Spending Account (FSA) options to employees. Sometimes these are referred to as cafeteria plans and are elective, supplemental insurance savings plans. These plans are designed to let you save money in an account, pre-tax, to pay for additional medical expenses such as eye exams, glasses, contacts, and often laser vision surgery. Check with the benefits administrator at your work to see if you are eligible for this program. FSAs can typically be used in conjunction with any vision insurance plan to offset any out-of-pocket costs on your behalf.

Other Payment Options

Our Virginia Beach optometry staff understands that cost is a concern when evaluating vision care providers. We do not want cost to be an obstacle to maintaining proper eye health and good vision. We accept various forms of payment and are able to discuss financing options with you prior to any examination. At Leverett Eye Care, we also accept cash, check, and major credit cards. Call 757-486-2015 today to schedule your eye exam today.