Downloadable Patient Forms

The following printable patient forms are provided for your convenience. Print and complete the patient form at your leisure and save time before your appointment.Our Privacy Practices are also available for you to read online.

New Patients:            Printable New Patient Information Form

HIPPA Privacy Information
For Patient Privacy Information, please click to download below:
(Download)
Insurance Coverage
We are participating providers for many insurance and vision plans. Whether we are in-network or out-of-network for your plan, we are happy to file most claims for you. If you do not see your plan listed below, contact our office at
(763) 478-3505.
· Aetna
· Blue Cross/Blue Shield
· Dakota Eye Care
· Health Partners
· Medica
· Medicare
· Preferred One
· Spectera
· U Care for Seniors
· VSP
· And many others…
Complete Eye Care of Medina is proud to serve Medina, Hamel, Corcoran, Rockford, Loretto, Plymouth, Maple Grove, Buffalo, Delano, Maple Plain, Long Lake, Independence and Wayzata.
Here are important vision links:

American Optometric Association
For More Info
Minnesota Optometric Association
For More Info
National Eye Institute
Info about macular degeneration

Info about glaucoma

Info about cataracts

Info about other eye diseases
Our Partners Links:
Laser Vision Center of Edina
For More Info
  Vitreo-Retinal Surgeons
WEST Health
For More Info:
Vision Therapist
For More Info