W63 N543 B Hanover Avenue Cedarburg, WI 53012
262 377 3937

Patient Center

What You Need to Know

At Family Vision Center, 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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Patient Center Online Forms

Download the necessary form(s), print it out and fill in the required information. Please fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form (Required) - Download & Print

Family Vision Center, Inc. HIPAA (Required) - Download & Print

Record Release Authorization (Required) - Download & Print


Payment Options

Family Vision Center, Inc. has products and pricing to accommodate all budgets for your eye care and eyewear needs, including eyeglasses, contact lenses, routine office visits and medical office visits.

Our Office Accepts

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

 
Participating Insurances
We accept most insurance plans at our office. Many plans and coverage vary. Please call our office and our staff will verify and explain your benefits before your visit, at no charge.