Patient Information
Forms
The buttons below provide the forms for you to complete prior to your appointment. We urge you to click the button and print them out to complete them as this will reduce the amount of time before you see the doctor. We prefer for you to have filled out these forms before arriving for your appointment, however you may fill them out at the office if you do not have access to a printer. If you do not know how to fill out any sections, leave them blank and we’ll assist you when you arrive.
Policies
As a covered entity under HIPAA (Health Insursance Portability and Accountability Act), All Eye Care. P.A./Rajiv M. Rugwani, M.D., is required to maintain the privacy of your protected health information. We are prohibited by law from disclosing any protected health information to anyone other than you without your written authorization.
We highly appreciate our patients keeping their scheduled appointments. If you wish to cancel or reschedule your appointment, contact our office at least 48 hours prior to the appointment time. A $30.00 “No Show” charge will be applied if the patient cancels their appointment within 48 hours of the appointment time, reschedules their appointment within 48 hours of the appointment time, or does not show up to their appointment by their appointment time.
Insurances We Take
At All Eye Care, we accept a wide range of insurances; below is a list of some but not all of the insurance carriers we accept. If you don’t see your carrier below, we recommend calling us at 972-937-4433 to inquire about your insurance plan.
Carriers We Accept
- Medicare
- Most Medicare Advantage Plans
- Blue Cross and Blue Shield PPO
- United Healthcare
- Aetna
- Humana PPO and HMO
- TML
- PHCS
- Cigna PPO
- Beech Street
- HealthSmart
- MultiPlan
- Tricare East Select
- GEHA
- Scott & White
- Vision Services Plan (VSP)
- EyeMed
- Superior
Please call our office to verify your specific plan.
