Insurance And patient Responsibility Policy
How would you like to submit your insurance policy information?
If you choose to download this form, submit it in one of the following ways:
1. Bring it to our office during your next visit.
2. Email a signed copy to firstname.lastname@example.org
3. Fax it to 770.388.9715.
4. Mail it to:
Center for Sight Conyers
1400 Wellbrook Circle NE
Conyers, GA 30012
Please note that we will still require copies of your insurance cards to process your claims properly.