​​ >>>ORDER CONTACTS ONLINE
580-762-5700 info@familyvisioneyecare.com
Family Vision Care of Ponca City
  • Home
  • Services
  • Optical
  • Forms
  • Meet Us
  • Contact
  • Social-Eyes
All patients MUST agree to the following statements or Family Vision Care of Ponca City will not be able to provide care.

I fully agree and understand that payment is due at time of service. I fully agree that I am responsible for all services and co‐payments not covered by my insurance company (should that apply). Financial arrangements, if needed, should be made prior to treatment. I hereby authorize release of information for insurance claim purposes.

​I authorize Family Vision Care of Ponca City or their representatives, including collection agencies, to contact me via cell phone, email, or wireless device (including use of automated dialing equipment) regarding my account should it become delinquent. I understand that I may withdraw my consent to call my cell.
Picture

CONTACT

​
1619 North 5th Street Ponca City, OK 74601
8am-5pm Mon-Fri
1(580)762-5700 OFFICE
1(580)765-3022 FAX
info@familyvisioneyecare.com

HELPFUL LINKS

Think About Your Eyes
Vivance - Children's Eye Health
Center for Disease Control
​

SITE MAP

Services
Patient Forms
About Us
Contact Us

​
Picture
Picture
© 2018 Family Vision Care of Ponca City
Site Powered by My Media Matters
Site powered by MyMediaMatters Web Design