Insurances & Patient Forms

Montclair Vision Services works with several well-known insurance companies that are listed below. We also have many patients that use their out-of-network benefits or that do not have insurance for vision. In such instances, an itemized receipt is issued to the patient so that they may seek monetary reimbursement from their insurance provider or flexible spending account.

Participating Insurance Companies:

Please call our office to confirm our participation with your specific plan.
Please have the member ID, social security number, and date of birth of the primary member readily available when making appointments.


The staff at Montclair Vision Services wants all patients to have the most stress free experience when visiting our office. That is why we are making it more convenient for new patients by having all the required paperwork posted here for you to print at home, fill out, and bring with you to your appointment. This is not only a time-saving technique, but allows you to more thoroughly fill out the necessary forms.
All required paperwork is posted below in ".pdf" files so Adobe Acrobat is required to open these files. You can download/update your Adobe Acrobat by clicking here.

Patient Forms:
Please print and fill out these forms before your scheduled appointment

 Please note that ALL cancellations for scheduled appointments need to occur at least 24 hours in advance. Failure to comply will incur a charge!