Thank you for booking an appointment with Chandler Eye Center. We appreciate having you as one of our patients.

Here you will find the paperwork for your first visit.

Please print out the following documents and have them filled out PRIOR to coming to your appointment. You also have the option to fill out your paperwork online and submit it to us electronically.

The refraction policy MUST be signed to signify that you understand our policy.

Make sure to bring your insurance card & driver license/ID!

New Patient Paperwork – View / Download PDF | Fill Out Online

Insurance

Below are a majority of the insurances that we accept. Our contracts can change without notice. Patients are strongly encouraged to phone their health insurance carrier to inquire if Robert C Davidson, NPI 1003809641, is an in network provider.

  • AARP MCR ADV-UHC
  • AETNA-HMO,PPO,SR,POS
  • ALIGNMENT HEALTHCARE
  • AMERIBEN
  • APWU
  • ASSURANT
  • BANKERS LIFE
  • BANNER AETNA, BCBS, UHC
  • BCBS PPO AND HMO AZ ONLY, BCBS BANNER
  • CCN
  • CHAMPVA
  • CIGNA-HMO, PPO, OA, MCR, GREAT WEST
  • CIGNA OPEN ACCESS
  • COVENTRY
  • DEVOTED
  • EQUITABLE
  • FIRST HEALTH
  • GEHA
  • GHI
  • GILSBAR
  • GOLDEN RULE
  • HEALTHNET
  • HUMANA PPO ONLY *MUST HAVE OUT OF NETWORK BENEFITS MAIL HANDLERS
  • MEDICA -BILLED THRU BCBSAZ ONLY
  • MEDICARE INCLUDING RAIL ROAD
  • MERCY CARE PLAN (MCR ADV)-AHCCCS REF NEEDED
  • MERITAIN
  • MMSI
  • MULTIPLAN PPO
  • MUTUAL OF OMAHA
  • OPTUM
  • PHCS
  • PHYSCIANS MUTUAL
  • PRINCIPAL LIFE
  • SHEET METALWORKERS
  • SW SERV ADMINISTRATORS
  • TEAMSTERS
  • TRICARE FOR LIFE AND TRICARE PRIME *NEED SSN
  • TRICARE-TRIWEST CCN-VA-NEEDES REF *NEED SSN
  • TUFTS
  • UMR
  • UHC-PPO, HMO, ADV (BANNER), UHC MC ADV-NEEDS REF
  • USAA
  • NEIGHBORHOOD CLINIC -PRO BONO
  • ANY MEDICARE ADV PLAN REQ A REF

Please note because we are a “Specialty” we DO NOT accept most majority of Vision Plans, also we DO NOT perform routine vision exams (unless otherwise noted by your insurance).

We DO NOT accept the following:

  • Abrazo- AHCCCS
  • Ambetter-Healthnet
  • APIPA- AHCCCS
  • Arizona Priority Care Plus-Healthnet
  • Avesis
  • Bridgeway Acute Plan Or Long Term Care- AHCCCS
  • Care 1st Arizona- AHCCCS
  • Cigna MC Advantage
  • Cochise Health Long Term Care- AHCCCS
  • Cole Vision
  • Community Connection- AHCCCS
  • Coordinated Vision Care
  • EverCare Select- Long Term Care- AHCCCS
  • Gila County Long Term Care- AHCCCS
  • Great West Health Care
  • Healthchoice Generations
  • Healthnet AHCCCS
  • Health Partners-Healthnet
  • Humana Hmo
  • Maricopa Health Plan- AHCCCS
  • Phoenix Health Plan- AHCCCS
  • Pima Health Plan- AHCCCS
  • Pima Health Plan Long Term Care
  • Pinal Long Term Care- AHCCCS
  • SCAN- AHCCCS
  • SCAN Long Term Care- AHCCCS
  • Sight Care
  • Spectra
  • United Healthcare Community-AHCCCS
  • University Family Care- AHCCCS
  • VSP