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Patient Resources

Patient Resources

At Burris, LeClere & Labhart Eye Center, we believe in continual improvement of our services. Please take a few moments and share your experience with our office. We appreciate your feedback!

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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.

Health History Form - Download & Print
HIPPA Form - Download & Print


Payment Options

At Burris, LeClere & Labhart Eye Center, 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

In an effort to better serve our patients we accept a wide variety of vision and medical insurances.  The list is ever changing and does vary according to employer.  If you have any questions about your vision or medical coverage and whether or not we are participating providers, please call our office to speak with one of our knowledgeable staff.

We accept the following insurance plans:

  • VSP
  • Davis Vision
  • EyeMed
  • Indiana Medicaid
  • Medicare
  • Blue Cross Blue Shield

If you don't see your insurance provider on this list, please call and inquire as the list is always growing!


American Optometric Association Pamphlet

Click below to View a pamphlet from the American Optometric Association regarding exam coverage with different types of insurances and patient resources that can help you figure out your coverage.
http://www.aoa.org/Documents/FAQ%20Insurance%20Pamphlet.pdf