For Patients

Eligibility Requirements / Fees

We strive to care for the population who cannot otherwise afford eye care.  We do not require patients to file paperwork regarding financial or legal status. Low cost care is available and no patient is denied care due to inability to pay.

  Fee
Residents of a Dallas Housing Authority or live in Section 8 housing (Please bring proof of residency or housing) No charge

Registration Forms

We strive to care for the population who cannot otherwise afford eye care.  We do not require patients to file paperwork regarding financial or legal status. Low cost care is available and no patient is denied care due to inability to pay.

 

   Download
Patient Registration Form (English)  
Medical History Form (English)  
Medical History Form (Spanish)  

Insurance

We accept most Medicare and Medicaid plans. Please bring your Medicare card or Medicaid services sheet to your appointment.  If a patient is unable to pay fees not covered by Medicare, our staff will help determine if you qualify for a financial waiver for these fees.


Languages

Our doctors and staff provide all care in English, however there may be a Spanish translator available on a limited basis. If a patient feels more comfortable only communicating in Spanish, it would be best to bring a family member or friend who can help translate.


Prescription Assistance Program

If patients of the Cedar Springs Eye Clinic have difficulty affording eye medications, we do offer a Prescription Assistance Program at no charge for many medications. Your doctor will discuss the details of this program at your appointment.