Patient Center

Order Contacts

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Online Forms

Alpine Family Eyecare offers our patient form(s) online so they can be completed in the convenience of your own home or office.

Patient History Form - Download & Print

Insurance and Patient Privacy Information Form - Download & Print

Visual Needs Analysis Form - Download & Print

If you do not already have AdobeReader® installed on your computer, Click Here to download.

Payment Options

Alpine Family Eyecare believes in the value of eye care for you and your family. We have products and pricing to accommodate all budgets. Our office participates in most insurance programs. For patients who have little or no vision insurance coverage, flexible payment programs can be arranged. To learn more about our payment options, please call our office directly.

Our office accepts cash and all major debit and credit cards including MasterCard, Visa, Discover, and Care Credit.

  • Flexible Spending Plans
  • Health Savings Accounts (HSA)
  • Medical Savings Accounts (MSA)
  • Cafeteria Plans for most of your eye care needs

All of the above plans can be used for all your eye care and eyewear needs, including eyeglasses, contact lenses, routine office visits and medical office visits.


Most insurance plans are accepted at our office. Since there are so many plans and coverage varies widely, please call us to find out if your plan covers care in our office. Our staff will verify and explain your benefits before your visit, at no charge.

Some insurance plans we accept are: BCBS, EyeMed Vision Care, Heritage Vision Plans, Medicare Michigan, Meritain Health, Set Seg, Vision Service Plan