Patient Center

Welcome to our Online Patient Center! Here you can get information about what to expect during your visit with one of our doctors as well as important forms you can complete before your appointment to save time.

We want your visit to be as stress-free as possible. Our staff will do everything we can to make sure your experience is pleasant and convenient. If you have any questions about these forms, please don’t hesitate to contact us.

What to Expect

When you visit our office, you will be warmly welcomed and we can answer any questions you may have about completing the paperwork so that Miamisburg Vision Care may see you. Our team will work together to evaluate your eyes and provide relevant eye care treatment information, review your vision benefits and payment options, fit you for glasses or contact lenses, and focus on exceeding all of your expectations. If at any time you have questions about the process or your specific health information, please ask.

Office Hours & Info

  • Monday
  • 8:00am - 7:00pm
  • Tuesday
  • 8:00am - 5:00pm
  • Wednesday
  • 9:00am - 6:00pm
  • Thursday
  • 8:30am - 5:00pm
  • Friday
  • 8:00am - 5:00pm
  • Saturday
  • Closed
  • Sunday
  • Closed

937-866-3471
9378665242

  • 340 Alexandersville Rd
  • Miamisburg, OH
  • 45342

All Patients

Registration Form

Please bring with you for your appointment. Circle anything that applies to you, or your family (in the family section).

Download & Print Form

Notice of Privacy Practices

Please take a moment before your exam to read and fully understand our privacy policy.

Download & Print Form

Helpful Questionnaires

Lifestyle Questionnaire

This questionnaire is designed to assist you and our staff in helping select the best lenses, frames and/or contact lenses to suit your visual needs and lifestyle. Take a few moments to answer the following questions or work with our staff to answer them together.

Download & Print Form

Dry Eye Questionnaire

If you experience dry eyes, please fill out and bring with you to your appointment.

Download & Print Form

Computer Vision Questionnaire

If you have trouble with your eyes while using a computer please fill out and bring with you to your appointment.

Download & Print Form

Speciality Visits

InfantSee

Please bring with you for child’s appointment. Circle anything that applies.

Download & Print Form

Low Vision Evaluation

Bring with you for your low vision evaluation. Circle anything that applies.

Download & Print Form

Low Vision Questionnaire

Please bring with you for your appointment. Circle anything that applies.

Download & Print Form

I was so happy when I left Miamisburg Vision Care. They told me more about my eye health than I had learned in all my visits to other eye doctors combined. They figured out what was wrong with my current prescription and told me exactly what they were going to do and exactly what I could expect. I was so pleased with the excellent care and communication.
Elizabeth J.

Payment Options

Miamisburg Vision Care believes in providing the best value for you and your family. We have products and pricing that aims to accommodate all budgets and our office participates in most insurance programs. We accept various forms of payment and are able to discuss financing options with you prior to any examination. At Miamisburg Vision Care, we also accept cash, check, Care Credit, and major credit cards. Call 937-866-3471 today to schedule your eye exam today.

Don’t forget to use your:

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

Care Credit

The Care Credit card is available to help people pay for health care expenses, often with an introductory period that is interest-free. We accept Care Credit for all of our services. To learn more or apply for the card, visit Care Credit here.

Insurance

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.

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.

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Our Office

  • 340 Alexandersville Rd
  • Miamisburg, OH
  • 45342
937-866-3471
Contact Page Request an Appointment 
 Back

Office Hours

  • Monday
  • 8:00am - 7:00pm
  • Tuesday
  • 8:00am - 5:00pm
  • Wednesday
  • 9:00am - 6:00pm
  • Thursday
  • 8:30am - 5:00pm
  • Friday
  • 8:00am - 5:00pm
  • Saturday
  • Closed
  • Sunday
  • Closed
Request an Appointment