278 Benedict Ave. Ste 300. Norwalk, OH 44857 | 419-668-3295

Patient Center

Online Forms

Welcome to our patient center! Speed up your visit by completing the necessary form(s) below. For your convenience, you can either fill the form(s) out online or download and print the form(s) and bring it with you to your appointment.

Registration Form - Download & Print

Records Release - Download & Print

HIPAA - Download & Print

Payment Options

At North Central Eye Associates, Inc., our mission is to provide quality service and products at reasonable pricing. We accept the following payment methods:

  • Cash
  • Check
  • Visa, MasterCard, and Discover
  • Flexible Spending Plans
  • Health Savings Accounts (HSA)

Participating Insurances

Our practice accepts most insurance plans, Medicare and Medicaid. Coverage may vary from one plan to the next.  We do not accept vision insurance for our ophthalmic services or optical shop.  However, if your office visit reveals a medical diagnosis, this will be applied to any current medical insurance and your visit will be covered accordingly.  Please call our office to verify your benefits before your visit.

Satisfaction Survey

At North Central Eye Associates, Inc., we believe in continual improvement of our services. Please take a few moments and share your experience with our office. We appreciate your feedback!

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