Patient Center

Patient Center Online Forms

Speed up your visit by completing the necessary patient center form(s) below. For your convenience, you can either fill the form(s) out online or download and print the form(s) and bring it with you to your appointment.

Medical History Form - Download & Print | Submit Online

About Your Insurance Form - Download & Print | Submit Online

Optomap Information - Download & Print | Submit Online

Vision HIPAA Form - Download & Print | Submit Online


Payment Options

At Zeeland Vision, our mission is to provide quality service and products at reasonable pricing. We accept the following payment methods:

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


Participating Insurances

We accept most insurance plans at our office, including VSP, Medicare, EyeMed, Priority Health (Medicare and Medicaid), Blue Cross Blue Shield, Sisco, NVA (exam only), and Aetna. Many plans and coverage vary. Please call our office and our staff will verify and explain your benefits before your visit, at no charge.