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Contact Lens And Glasses Policy
We will happily adjust a contact lens prescription at no charge as long as it falls within 90 days after the initial contact lens fitting. If you would like your contacts adjusted outside this time due to vision or comfort you will be recharged the initial contact lens fitting fee and the 90 day window will reset. Contact lens prescriptions once finalized are good for 1 year. If your irritation in contacts at a follow up is due to a medical issue it will be charged as an Office Visit.
We have a 60 day love your glasses guarantee policy. If in the first 60 days you are unhappy with the frame or prescription, we will happily remake the lenses for you. If the prescription is an outside prescription, we just ask that you have the original prescribing office adjust the prescription. If you feel you have a prescription change outside 90 days but before 6 months from the initial time the prescription was issued, we do charge a $50 refraction fee. If the change in vision is due to other issues such as allergies, corneal irritation, or diabetes that needs to be addressed there may be an office visit fee. If you would like a prescription update 6 months or more after the initial prescription was given a new exam will be required.
Please be aware that glasses are custom products. Once an order is placed, we do not offer a refund but we can remake the lenses once if there is an adaptation issue.
I have understood and acknowledge the Contact Lens and Glasses Policy for Westlake
Hills Vision Center
Vision Plan Info
For those with vision plans, through our new partnership with Anagram, we are able to pull benefits and bill services for exams, glasses, and contact lenses directly for all vision plansâinnovating the care we can provide to you by taking the guesswork out of your vision benefits. This allows us to give you the quality of care you and your vision deserve.
After your examination and frame styling consultation are complete, we'll collect payment for services and materials directly on the day of service and if you have a vision plan with eligible benefits, you can expect a reimbursement check to be sent to you directly within thirty days of your visit.
The examination includes refraction, dry eye screening for those 21+, and Optos retinal imaging costs $249. There are additional charges for contact lens prescriptions depending on prescription type, ranging from $90-$250, frames and lenses, etc. If you purchase a complete pair of glasses (frame and lenses) with us, you will receive $50 off the cost of your examination.
I understand and acknowledge that I have read the Insurance Info Policy for Westlake Hills
Privacy Policy
**View Patient Privacy Policy**
I have understood and acknowledge the Contact Lens and Glasses Policy for Westlake Hills Vision Center.
Sharing Of Personal Information
I authorize Westlake Hills Vision Center's medical staff to discuss my healthcare information (which may include history, diagnosis, test results, treatment and other health information) with the people listed below. This release authorization will remain in effect until terminated in writing by me.
My healthcare information by be released to the following people:
Name:
Relationship:
Contact Info
Name:
Relationship:
Contact Info
Do
NOT release my personal healthcare information to anyone
Privacy: We will do our best to protect the privacy of your medical information. As per Federal Regulations, we have implemented a privacy policy and assigned a privacy officer.
An overview of our Privacy Policy is available for you at our front desk. If you wish to see the entire policy, please ask any staff member.
I DO I DO NOT allow you to leave a detailed message for me at my preferred method(s) of contact
Insurance Info
Insurance
I understand that Westlake Hills Vision Center is an open access provider with all vision insurances has permission to file a claim to my vision plan on my behalf through Anagram. I understand they are open access providers for all vision insurance and payment is due for all services and materials at the time of service in full. I understand I will be reimbursed afterward by my vision plan in accordance with my available benefits. I understand that the amount Westlake Hills Vision Center may quote through Anagram for reimbursement is just a quote and may differ from the amount actually reimbursed.
I Have Understand And Ancknowledge That I Have Read The Attestation Policy For Westlake Hills Vision Center.
Vision Center.
Westlake Hills Vision Center Frame Waiver
We will happily adjust and maintenance a frame not purchased from Westlake Hills Vision Center. Every effort will be made to use the utmost care while handling your frame. However,
we cannot be held liable for any damage that may occur when inserting new lenses into or adjusting any frame that is not purchased or currently warrantied through Westlake Hills Vision Center. Adjusting includes any service that requires frame handling such as inserting nose pads or screws.
Although rare, if you choose to use your own frame but have new lenses inserted, should breakage occur when lenses are being inserted at the lab, Westlake Hills Vision Center will not be financially liable but will offer a 30% discount on any other frame a patient wishes to use for lens insertion.
Signature:
Date(new date required
each year):
Cancellation Policy
We do understand sometimes you may not be able to make it to an appointment. In this case we
ask a minimum of 24 hours notice. If we receive less than 24hrs notice for any reason there will
be a $50 cancellation fee. Giving more notice allows us the opportunity to see another patient. If
an appointment is canceled/missed/rescheduled with less than 24 hours notice for any reason 3
times then we will only be able to do appointments as walk in only.
I understand and acknowledge that I have read the Westlake Hills Vision Center Policy.
Photo Permission
I DO
or DO NOT
give Westlake Hills Vision Center Permission to use any photo taken in the office of myself in glasses on social media.
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