Patient Forms

Downloadable patient forms that you can print and fill out before your next visit to Exclusively Eyecare in Omaha.

For your convenience, we have created the following pages to provide you with a list of the insurance carriers we accept at our Omaha optometric office, as well several downloadable forms to save you time at your next appointment.

Downloadable Forms

Patient Information & review of systems 2017

“After a bad experience with Lenscrafters, and returning glasses I got from them, I went to Exclusively Eyecare. I received excellent help picking out glasses. The selection and quality was outstanding, and the staff was professional, nice, and really helpful in finding me frames that worked for me. I have already referred others to them, and they have been equally impressed and pleased. They know what they are doing with insurance, so that saved me the hassles that I had other places. The prices might be a little higher, but it is WELL worth it.”

Mark