Patient Center

Patient Center

Welcome to our patient center! At Powell Vision Clinic, LLC, we believe in continual improvement of our services. Please take a few moments and share your experience with our office. We appreciate your feedback!

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Online Forms

Speed up your visit by completing the necessary form(s) below. For your convenience, you can either fill the form(s) out online or download and print the form(s) and bring it with you to your appointment.

Medical History Questionnaire - Download & Print

Medical Vision Explanation- Download & Read

HIPAA Privacy Practices - Download & Read

Payment Options

At Powell Vision Clinic, LLC, our mission is to provide quality service and products at reasonable pricing. We accept the following payment methods:

  • Cash
  • Check
  • Visa, MasterCard, and Discover
  • Flexible Spending Plans
  • Health Savings Accounts (HSA)

Participating Insurances
Our practice accepts most insurance plans. Coverage may vary from one plan to the next. Please call our office to verify your benefits before your visit.