ABOUT SERVICES APPOINTMENTS PATIENT INFO ORDER CONTACTS LOCATIONS PAY ONLINE Patient Appointment Information Whether you’re here for an eye exam or contact lenses, all new patients will be asked to complete a New Patient Registration Form and a Medical History Questionnaire. We will need to see your valid insurance cards and photo ID to set up insurance filing. Established patients will be asked to verify their current demographic, medical and insurance information. Accurate records help us to serve you more efficiently and file your claims correctly. Click below to download the forms you will need. You may print them off and bring your completed forms to our office to expedite the check-in process. What To Bring To Your Appointment Due to the COVID19 pandemic please wear a mask or face covering to your appointment. Also, please come alone if possible. Seating is very limited for social distancing. The completed New Patient Registration Packet Photo ID Glasses and contact lenses with packaging. Wear lenses if you have them. Current Insurance Cards ALL required referrals must be in our office prior to your appointment Co-pays are due at the time of appointment Acceptable form of payment – Cash, Check, Visa, Mastercard, Discover Other Forms Full Notice of Privacy Practices (PDF) Request for Medical Records (PDF) Insurance & Billing Medical Plans Nashville Vision Associates is a Medicare participating practice accepting assignment on all covered medical and surgical procedures. Patients are responsible for: deductibles co-insurance co-payments (for a specialist) refractions contact lens fittings/evaluations for renewing prescriptions contact lenses any non-covered services Patients participating in Health Spring or other HMO insurance companies must obtain a referral from their primary care physician prior to their office visit. Those referrals can be faxed from the primary care physician directly to our office at (615) 915-5091 or (615) 915-5074. It is the patient’s responsibility to verify insurance benefits prior to their appointment. Refer to the back of your insurance card for customer service help. Vision Plans Call your insurance company prior to your appointment to find out if your provider is on that plan. Drs. Scott and Bounds are providers for the EYEMED and VisionBlue plans only. Dr. Taylor is not a provider for any vision plans. · © 2021 Nashville Vision · Powered by · Designed with the Customizr theme ·

ABOUT SERVICES APPOINTMENTS PATIENT INFO ORDER CONTACTS LOCATIONS PAY ONLINE Comprehensive Care in Two Locations! Nashville Office – 615-297-6591 The Eye Center at St. Thomas 4306 Harding Pike, Suite 202 Nashville, TN 37205 The Eye Center is located next to St. Thomas Hospital West and Taco Bell behind Suntrust Bank. Office Hours Mon-Thurs: 8:00am– 4:30pm Friday: 8:00am – 1:00pm Brentwood Office – 615-297-6591 Brentwood Medical Center 343 Franklin Road, Suite 204 Brentwood, TN 37027 The Brentwood location is conveniently located next to Regions Bank. Hours vary based on physician. · © 2021 Nashville Vision · Powered by · Designed with the Customizr theme ·