Patient Resources
Exciting Update: Online Bill Pay Now Available!
Great news! We’ve partnered with InstaMed to simplify your medical billing experience. Create an InstaMed Account and simplify the way you manage and pay your healthcare bills for all of your providers and family members. Get started at the link below:
For Your Visit!
The team at Pacific Eye Institute is dedicated to making your experience with us an exceptional one. For your convenience, we’ve made our patient forms available online to help make your visit easy and convenient. Prior to your visit, please print, complete and sign the appropriate forms, and give them to our staff upon your arrival.
In addition to the forms below please be sure to bring:
- Insurance card or proof of insurance
- Picture I.D. with current address
- Name of your current pharmacy, address and phone number
- Co-payment or Deductible (payment is due at time of service)
Prior to your visit at Pacific Eye Institute, we ask that you complete the online patient registration via the link below. Patients may also complete additional paperwork prior to their visit by visiting the patient forms section on this page.
All Patients
Surgical Patients
Alphaeon Credit Card for better vision
There’s an easier way to pay for your vision care! We’re pleased to accept the Alphaeon Credit card, designed exclusively for your health and wellness needs. With Alphaeon Credit, you can move forward with your procedure right away and pay over time with flexible monthly payments that fit your budget. Whether you’re considering LASIK, cataract surgery, or need new glasses or contacts, Alphaeon Credit makes it simple to invest in your eye health without financial stress. See clearer, sooner!
Your healthcare credit card
Alphaeon Credit is a credit card designed exclusively for health and wellness services, including vision care. With Alphaeon Credit, you can take advantage of special financing on purchases of $250 or more* for services not typically covered by insurance, such as LASIK and Premium IOLs. Don’t wait to improve your vision—get the care you need today and pay over time!
CareCredit healthcare credit card for better vision
There is an easier way to pay for your vision care, including LASIK. We’re pleased to accept the CareCredit credit card, North America’s leading patient healthcare financing program.
CareCredit lets you begin your procedure immediately — then pay for it over time with monthly payments that fit easily into your monthly budget.
Whether you’re considering LASIK, need cataract surgery, or it’s simply time for new glasses or contacts, CareCredit can help you see clearer, sooner.
Payment Calculator
Your healthcare credit card
CareCredit is the credit card exclusively designed for healthcare services. CareCredit offers special financing on purchase of $200 or more* for healthcare procedures not commonly covered by insurance, including LASIK and Premium-IOLs. Why put off improving your vision tomorrow, when you can see clearer today?
*Subject to credit approval. Minimum monthly payments required. Visit www.carecredit.com for details.
We are continually working to add new accepted insurance plans to our network. We have added several new providers in 2025. Please view our insurance list below and if you have questions please feel free to contact us!
To request your medical records, please click on the button and follow the steps:
