Patient Center

Patient Center

At U.P. Ophthalmology Associates, we believe in continual improvement of our services. Please take a few moments and share your experience with our office. We appreciate your feedback!

positive experiencenegative experience


Online Forms

Speed up your visit by completing the necessary forms below. For your convenience, you can download and print the forms and bring it with you to your appointment.

Patient History Questionnaire Form

Click an option below so that we can better understand and diagnose your health.
Download Microsoft Word Document | Download PDF File | Submit Online

Registration Form

Click an option below to register our services. We need the following information from you found in this form.
Download Microsoft Word Document | Download PDF File | Submit online

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Payment Options

At U.P. Ophthalmology Associates, 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. Coverage may vary from one plan to the next. Please call our office to verify your benefits before your visit.