Speed up your visit by completing the necessary forms below. For your convenience, you can download and print the forms and bring it with you to your appointment.
Medical History Form - Download & Print
Insurance Information Form - Download & Print
Privacy Practices Form - Download & Print
Contact Lens Evaluation - Download & Print
Contact Lens Policy - Download & Print
Financial Policy - Download & Print
Dr. Kohanov Optometry has products and pricing to accommodate all budgets for your eye care and eyewear needs, including eyeglasses, contact lenses, routine office visits and medical office visits.
Our Office Accepts:
- Visa, MasterCard, and Discover
- Care Credit
We accept most insurance plans at our office. Many plans and coverage vary. Please call our office and our staff will verify and explain your benefits before your visit, at no charge.
- Administar Federal
- Blue Cross Blue Shield
- Detroit Carpenters
- Eye Med Access & Select Plans A-H
- Heritage Vision
- MEBS - Messa
- MUFCW (Retail Clerks)
- Roofers Local 149
- Superior Vision
- Teamsters H&W Fund
- Private Insurances (Numerous)
If you do not see your insurance listed, please call and ask us to check for you!