New Patient Center

Phoenix’s Eye On Health Patient Center

Where We Make Life A Little Easier

image of man and woman wearing sunglasses

Thank you for choosing us. We look forward to seeing you! We understand your time is precious. You need a professional, reliable optometrist who conveniently fits your lifestyle. Not only do we offer various scheduling and payment options, but we also help cut down how long you sit in our office with forms. To save time,  print and fill out the necessary paperwork from the comfort of your home or office!

Before your appointment:

  1. AdobeReader® is required to download and complete our patient form. Download the Free AdobeReader® here.

  2. Download and print our Eye On Health Patient form. Fill in required information.

  3. Fax your completed form to our office at (623) 321-6314 or bring them with you to your appointment.

At Eye On Health, we strive to make sure the time we spend with you during your visit is quality time. This form gives Dr. Balocca vital insight for a complete eye exam — because your overall health has a direct impact on your eye health. 

Let us know what questions, concerns, and goals you have regarding the form or your vision. We care!


Everyone was great! It was my first time there and they made it a very pleasant experience.

- JAMES P.


Current Eye On Health Patients

Make a Payment Here


Vision and Eye Care Payment Options

At Eye On Health in Phoenix, our goal is to equip you with the clearest vision possible and promote good eye health. 

We accept various forms of payment:

  • Cash
  • Check
  • Credit Cards
  • Insurance
  • FSA/HSA

We discuss exam and treatment costs at the beginning of your appointment. If you require a detailed cost breakdown, please let us know. We’re happy to provide additional info.

Medical & Vision Insurance

Our knowledgeable staff at Eye On Health work directly with you and your insurer to appropriately submit claims for vision care services with us. We strive to ensure that you understand your particular insurance coverage and answer any questions regarding your benefits. 

Many current medical and vision plans are designed to cover basic vision-related costs. (But sometimes, benefits don’t include all costs associated with eye care). Plans often require a co-payment for an office appointment, and you may need to cover additional costs out of pocket.

Contact our office at (480) 809-0550 to find out more about your coverage.

Flexible Spending Accounts

Many employers offer Flexible Spending Account (FSA) options to employees. Sometimes referred to as ‘cafeteria plans,’ they’re elective, supplemental insurance savings plans. 

These plans allow you to save money in a designated account (pre-tax) to pay for additional medical expenses, such as eye exams, contacts, and even LASIK. Check with your benefits administrator to see if you’re eligible for this program. Typically, you can use FSAs in conjunction with any vision insurance plan to offset any out-of-pocket expenses.

Other Payment Options

Our dedicated Phoenix optometry staff understand that cost is a concern when you’re evaluating and choosing a vision care provider. We don’t want prices to be an obstacle to maintaining proper eye health and good vision for you and your family.

We’re happy to discuss financing options with you before any examination. Call us at (480) 809-0550 to learn more. We’re here to serve the Phoenix community we love!

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