Patient Center

Welcome to our patient center! At Vroegh Family Eyecare we believe in making your experience at our office remarkable.

Please share your comments with us so we can continue to improve!

Patient Satisfaction Survey - Submit Online

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.

Registration Form


Medical History

Authorization for Release of Information

Authorization for Facsimile and Email

Consent for Verbal and Family Release of Information

Payment Options

Vroegh Family Eyecare 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.

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

Participating Insurances
We accept most insurance plans at our office including VSP, EYEMED, Davis Vision, Blue Cross Blue Shield, Aetna, Cigna, Humana VCP and Medicare. Many plans and coverage vary. Please call our office and our staff will verify and explain your benefits before your visit, at no charge.