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Pre Visit Checklist – Rose Optical, Inc

Pre Visit Checklist

Pre Visit Checklist

We will need you to arrive 15 minutes prior to your appointment time with:

•    Picture ID
•    Medical & Vision Insurance cards*
•    Insurance Responsible parties Name, DOB, & SSN
•    Copays are due at time of service

*if no vision card was given to you please contact your Human Resources Department or Medical Insurance company to obtain the name of your vision plan

Rose Optical does have a No Show charge for missed appointments, we ask that you contact the office to cancel or reschedule to avoid this fee!