Enroll in the Family Vision Plan

Enroll Today!

Family Vision Plan Enrollment Form:
  • We have two plans: Up to 3-Person Plan, and 4 or More Plan

  • - No other insurances or discounts of any type can be used in conjunction with the Family Vision Plan
    - If member has other insurances, the Family Vision Plan can be used for additional care and services not covered by other insurances.
    - Plan covers the individual who has enrolled, his or her spouse, and his or her children or the children whom they are legal guardian of.
    - Plan may be used as often as required throughout the coverage period
    - Published discounts may be changed without notice

    By checking this box, I agree to the terms and conditions of the Family Vision Plan;
    I understand that when i visit the office, my chosen fee will be applied to that bill, and will be due in full at the time of my next/first visit.