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

Established Patient Update - Download & Print

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

  • Aetna
  • Anthem
  • Humana
  • Medicaid
  • Medicare
  • Passport Health Plan
  • United Healthcare
  • UMR
  • Cigna
Vision Plans

  • Avesis
  • Baltas Vision
  • Block
  • Blue View
  • Care Credit
  • Davis Vision
  • EyeMed
  • Humana Vision
  • Superior Vision
  • Vision Care Plan (VCP)
  • Vision Service Plan (VSP)
  • My Comp Benefits