(List name of medications including eye drops, vitamins, & birth control pills)
Please be advised if you are using insurance coverage for today's visit, this is a contract between you and your insurance company...not Brunswick Eye and Contact Lens Center.
You are fully responsible for the extra charges that the insurance does not cover. If your insurance company has not reimbursed our office in full within 60 days, you will receive an invoice for outstanding balances. (If by mistake your insurance company sends the payment check to us, we will of course sign over and forward the check directly to you.)
We appreciate your trust in us!! From the staff at Brunswick Eye and Contact Lens Center