Patient Center

At Elizabethtown Eye Care, we believe in continual improvement of our services. Please take a few moments and share your experience with our office. We appreciate your feedback!

Patient Satisfaction Survey - Submit Online

Online Forms

Speed up your visit by completing the necessary form(s) below. For your convenience, you can either fill the form(s) out online or download and print the form(s) and bring it with you to your appointment.

New Patient Packet - Download & Print | Submit Online

Established Patient Update - Download & Print | Submit Online

Notice of Privacy Practice - Download & Print

Payment Options

At Elizabethtown Eye Care, our mission is to provide quality service and products at reasonable pricing. We accept the following payment methods:

  • Cash
  • Check
  • Visa, MasterCard, American Express and Discover
  • Flexible Spending Plans
  • Health Savings Accounts (HSA)

Participating Insurances
Our practice accepts most insurance plans. Coverage may vary from one plan to the next. Please call our office to verify your benefits before your visit.

Medical Plans
My Comp Benefits
Passport Health Plan
Vision Plans
Baltas Vision
Davis Vision
Superior Vision
Vision Care Plan (VCP)
Vision Service Plan (VSP)