Patient Forms

Downloadable patient forms that you can print and fill out before your next visit to Vision Source Midwest City in Midwest City.

For your convenience, we have created the following pages to provide you with a list of the insurance carriers we accept at our Midwest City optometric office, as well several downloadable forms to save you time at your next appointment.

Downloadable Forms

New Patient Form [PDF]
Notice of Privacy Practices [PDF]

Here are the 20 most commonly used procedure codes in our office and their associated prices. Download [PDF]

““This is THE MOST professional, courteous, efficient, etc etc I could go on and on doctor's office I have ever been in and that says a lot!!! The expertise of every single person I spoke and dealt with was extraordinary and I felt like the whole office moved like a well-oiled machine. This is the ideal way that ANY medical practice should be ran and every one of you should take pride in the amount of training and hours that you spend (because I can tell it is a good amount of time) learning how to make every transition smooth for each patient and telling each patient what is going to happen and when. I'm a nurse and I have never seen this in practice. Wonderful job. I will be back and often.””

Tara S.