20/20 Vision Care …

Please print and fill out the appropriate form below if any information has changed from the last time you visited our office or if you are a new patient this allows for a quicker check in for your appointment.

Patient Information Form

Direct Billing

20/20 Vision Care can direct bill some insurance companies for exams, contacts and glasses.

  • Alberta Blue Cross
  • ASEBP (Alberta School Employee Benefit Plan)
  • Chamber of Commerce (Assignment of Benefits Page 1, Pages 2 & 3)
    If you are not the primary card holder please have them sign the form for your claim.
  • Green Shield
    Please ensure your company is signed up for Great West Life Online Direct Billing. If they are not then please print the forms below so we may direct bill you claim.
  • Great West Life (Click Here for Insurance Forms Page 1, Pages 2 & 3)
    If you are not the primary card holder please have them sign the form for your claim.
  • And most Alberta Government Assistance Programs, and Saskatchewan Supplementary Health

We can also direct bill Alberta Heath Care and Saskatchewan Health Care for those that are eligible

Not Able to Direct Bill?

Listed below are additional Claim Forms that you can print and bring in for claiming your exam or purchases.  These insurance companies do not allow any direct billing.  For your convenience we provide their forms below:

Please make sure you bring all your information in and present it before placing or paying for an order.

Should you have any questions please feel free to contact our office.