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Patient Information

Thank you for choosing Ohio Eye Associates for your vision needs. We are committed to providing you expert eye care that exceeds your expectations. Below you will find our new patient paperwork, click on each link below to download the forms. Please complete the forms and bring them with you to your visit. Should you have any questions or concerns, please feel free to contact our office.

Patient Forms

Note: These documents are in Adobe® PDF format. They require Adobe Reader to be viewed. If you do not have Adobe Reader, you can download it for free by clicking here.

Financing

CareCredit for better vision

When to have your vision procedure should be the question, not how to pay for it. We'd like to make that decision even easier for our patients. That's why we're pleased to offer the CareCredit® card, North America's leading patient payment program. CareCredit lets you begin your procedure immediately — then pay for it over time with low monthly payments that fit easily into your monthly budget. Now you don't have to save up for years to finally get the vision you've always wanted. We'll help you see clearer, sooner.

Like a credit card but better

CareCredit cards work just like a regular credit card, but is exclusive for healthcare services. CareCredit offers low monthly payment plans for healthcare procedures not commonly covered by insurance, including LASIK. Don’t put off improving your vision. Get your procedure now.

For vision procedures CareCredit offers:

Low minimum monthly payments
No up-front cost or pre-payment penalties

Learn more by visiting CareCredit.com or contacting our office. Ready to apply? Apply online for your CareCredit card today. You'll be seeing clearer in no time.

CareCredit® endorsed by: Society for Excellence in Eyecare

*Approval is based on information from your credit application and past credit history. This includes information from the primary applicant as well as any co-applicant.

Amsler Grid

The Amsler Grid chart should be used to check the central part of your visual field, the area that can be damaged by Macular Degeneration.

Instructions for Use:

View the chart (with your reading glasses on) at normal reading distance.
Completely cover one eye and look at the central dot on the chart.
Notice if there are any areas within the grid that appear gray (or black), or if there are any areas where the straight lines appear bent, crooked, or missing.
Check the chart regularly (daily or weekly).
Call your doctor if new changes occur.

Amsler Grid Chart

Beltone Hearing Clinic

Our patients know and trust us for our care and professionalism when it comes to their vision care.
We believe vision is something that should never be taken for granted. We believe that your
hearing should never be taken for granted either. Until now, we could help our patients enjoy the
sights of life, but couldn’t help them with the sounds of life.

Ohio Eye Associates has partnered with Beltone for your hearing needs. You can now have your
hearing checked and hearing instruments serviced right at our facility. Beltone is the most trusted
name in hearing care in adults over 50 and they share our philosophy of providing only the highest
standards in patient care and quality of service. Together, we can help our patients with both the
sights and sounds they may be missing, and we think that’s pretty incredible.

For more information, please read our Beltone Hearing Clinic brochure

Maps & Directions

Click on a link below for maps and directions to the following locations:

MedCentral Hospital

Cataracts

LASIK

Glaucoma