SHOFNER VISION CENTER

PATIENT FORMS

We look forward to seeing you

Patient Forms

Please review the following forms and policies. For new patients or patients that have not had an appointment with Shofner Vision Center in over 3 years will need to complete New Patient Forms. If you have any questions about your appointment please contact our office at (615) 340-4733.

New Patient Forms

You may download and complete new patient forms prior to your scheduled appointment. Be sure to print, sign and complete all pages and bring them with you to your appointment. 

Note: If it has been over 3 years since your last appointment with Shofner Vision Center, please complete new patient forms to update our records.

Download Patient Forms

CareCredit Financing

When to have your vision procedure should be the question, not how to pay for it. We'd like to make that decision even easier for our patients. That's why we're pleased to offer the CareCredit® card, North America's leading patient payment program.

CareCredit lets you begin your procedure immediately — then pay for it over time with monthly payments that fit easily into your monthly budget. Now you don't have to save up for years to finally get the vision you've always wanted. We'll help you see clearer, sooner.

CareCredit For Better Vision
CareCredit is the credit card exclusively for healthcare services. CareCredit offers monthly payment options for healthcare procedures not commonly covered by insurance, including LASIK and Premium-IOLs. Don't put off improving your vision. Get your procedure now. 

For vision procedures, CareCredit offers:
• Monthly payments
• No up-front costs or pre-payment penalties

Learn more by visiting CareCredit.com or contacting our office. Ready to apply? Apply online for your CareCredit card today. You'll be seeing clearer in no time. Apply Now

Practices Policy

R. Stewart Shofner MD PC, along with its affiliated associates, believes that your health information is personal and we are committed to keeping your health information private.  In addition, we are required by law to keep certain health care information, known as Protected Health Information (PHI) confidential.  This notice describes how medical information about you may be used and disclosed and how you can get access to this information.  Please review this notice carefully.

Download Notice of Practices Policy.

LASIK Consultation Forms

Patients that recently scheduled a LASIK exam, you may download the following forms to complete and print. Please bring all completed forms with you on the day of your appointment. You may also complete these at our office.

Download LASIK Evaluation Form

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Shofner Vision Center

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Shofner Vision Center

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stay in touch

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Receive news updates and vision tips.
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