Patient Information

Things to bring to your appointment

Prior to your appointment, we encourage you to fill out the new patient forms below so that you can accelerate your check-in process. Please download, print, and complete the seven forms and bring them with you to your appointment.

In addition to your completed forms, you will need to bring your insurance card(s), a picture ID, and a list of your medications to your appointment. Some insurances require a referral for medical eye care; verify with your insurance company if you are not sure.

We may dilate your eyes. This is important for identifying possible health issues that could affect your vision. Your eyes will be sensitive to light for up to 6 hours after dilation and will need protection. You may choose to bring your sunglasses, or we will give you disposable protective eyewear. If you feel uncomfortable with the idea of driving yourself home with dilated eyes, you may choose to bring a driver with you to your appointment.

We look forward to serving you as our patient.
Thank you for trusting our office
for your eye care needs.


Insurance coverage for eye care can sometimes be confusing. If you simply need a routine eye exam and optical care with glasses or contact lenses, we’ll file a claim to your vision insurance. However, if there are medical concerns associated with vision care, your medical insurance may cover your costs. Our knowledgeable staff will help you determine the best way to file.

We accept most medical insurance including Medicare, Medicaid, Arkansas Blue Cross & Blue Shield, etc. We are also providers for most major vision plans, including Vision Service Plan (VSP), Superior Vision, etc. Out of pocket expenses, such as co-payments and deductibles are the responsibility of the patient.


We accept cash, check, Visa, Mastercard, American Express, and Discover in payment for our services. Jeffries Eye Associates does not want cost to be an obstacle to maintaining proper eye health and good vision. We accept CareCredit and are able to discuss financing options for our established patients prior to any examination.

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