At Belle Plaine Eyecare Center we believe in continual improvement of our services. Please take a few moments and share your experience with our office. We appreciate your feedback!
Online Forms
For your convenience, you can fill out your forms online by following the link below.
Hours of Operation
- Monday
- 10:00am - 6:00pm
- Tuesday
- 8:30am - 5:00pm
- Wednesday
- 8:30am - 5:30pm
- Thursday
- 8:30am - 5:00pm
- Friday
- 8:30am - 4:00pm
- Saturday
- Closed
- Sunday
- Closed
Downloadable Patient Forms
Speed up your visit by completing the necessary forms below. Download and print the forms and bring it with you to your appointment.
Patient Demographic FormAdult History FormChild History FormPrivacy Form
Payment Options
At Belle Plaine Eyecare Center, our mission is to provide quality service and products at reasonable pricing. We accept the following payment methods:
Our Office Accepts
- Cash
- Check
- Visa, MasterCard, American Express and Discover
- Care Credit
- Flexible Spending Plans
- Health Savings Accounts (HSA)
Insurance
We accept most health and vision insurance plans to best serve our patients. Below is a list of the major insurances our office accepts. If you do not see your insurance provider listed please call our office.
- Aetna
- Blue Cross Blue Shield
- Blue Plus
- Cigna Health Plans
- Eyemed
- Health Partners
- Humana
- Humana Vision (VCP)
- Laborcare and Union Plans
- Medica
- Minnesota Care
- Medicare
- Mutual of Omaha
- NRECA
- Patients Choice-Eyecare Network
- Physicians Mutual
- Preferred One
- Principal
- Selectcare
- Spectera
- Superior Vision
- Tricare
- Ucare
- United Health Care
- Vision Service Plan (VSP)
*We also sell safety eye wear and have contracts with many area businesses requiring safety glasses use.
- Aetna
- Blue Cross Blue Shield
- Blue Plus
- Cigna Health Plans
- Eyemed
- Health Partners
- Humana
- Humana Vision (VCP)
- Laborcare and Union Plans
- Medica
- Minnesota Care
- Medicare
- Mutual of Omaha
- NRECA
- Patients Choice-Eyecare Network
- Physicians Mutual
- Preferred One
- Principal
- Selectcare
- Spectera
- Superior Vision
- Tricare
- Ucare
- United Health Care
- Vision Service Plan (VSP)