Patient Forms

Below are an assortment of forms for your convenience. Some are necessary to have filled out prior to an appointment, so filling these out ahead of time may save you some time. Others are required by healthcare regulations for various reasons. Some are for your information. Please select the form(s) you need and print them out to fill in and bring with you.


Insurance and Billing

We will file most private insurance plans as a courtesy, but we ask for payment at time of service. We accept cash, debit cards, Visa, MasterCard, Discover Card and American Express. 

Visa MasterCard Discover Amex

Alaska EyeCare's In-Network preferred providers are:

We do not accept: EyeMed, Medicare Out-of- Juristiction, Out-of-State Workers Compensation.


If you have questions or concerns about your insurance, insurances accepted by AECC, or your account in general, please feel free to contact your AECC Billing Specialist directly by calling 907-272-2557, using your option for first letter of your last name:  A-F press #4  |  G-N press #5  |  O-Z press #6

Prescription Refills

Please contact our office at 907-272-2557 during normal business hours  for prescription refills and allow 24-48 hours to process. Please request your refill 2-4 days before you run out of your medication.



We understand that some concerns or needs are urgent. When available, we offer same day appointments for your convenience. Please contact one of our clinics at the phone numbers listed below to ask an associate if we have availability today.