Welcome New Patients

Nostalgic Dry Eye Spa, would like to welcome all new patients! On this page, you will discover many things such as:

What to expectations during your first visit
Downloadable patient forms to complete prior to visiting in order to save time
Various payment options
Insurance companies we accept
And much more

Our goal is to provide you with an experience to last a lifetime. Please give us a call if you have any questions!

Patient Forms

Please take the time to download and fill out the following forms prior to visiting. All patient forms are required.

Patient Registration Form

HIPPA Notice of Privacy Practices

Consent Form

Patient Forms

Please take the time to download and fill out the following forms prior to visiting. All patient forms are required.

Patient Responsibility

Medical Insurance

Dry Eye Questionnaire

Patient Forms

New Patient Greetings!

When you walk through the doors of Nostalgic Dry Eye Spa you will be greeted with a warm and welcoming smile!

Our frontline staff can handle any completed documents that you have (see downloads above). After we receive your documentation you will go to the exam room.

We will review any health conditions, medications, and insurance information you have. The type of exam you receive may differ to best serve you.

If you have any questions do not hesitate to ask the doctor or staff. See you soon!

Payment Options

Nostalgic Dry Eye Spa offer a vast range of products and treatments to manage your dry eye that fit a wide variety of customer's budgets. We are also a part of most insurance programs (see list below).

If you do not have insurance you may qualify for care credit which is a flexible payment program.
In terms of payment, Nostalgic Dry Eye Spa accepts: cash, check, and all major credit and debit cards.

Please call our office to learn more!

Accepted Insurances

Additional Plans:

We also accept Flexible Spending Plans, Medical Savings Accounts (MSA), and Health Savings Accounts (HSA). All of these plans can be used to purchase our services and products including eye exams, contact lenses, eye glasses, etc.

Care Credit

CareCredit helps you pay for out-of-pocket healthcare expenses for you, your family, and even your pets! Once you are approved, you can use it over and over again to help manage health, wellness and beauty costs not covered by insurance. To learn more or apply for the card, visit
Care Credit here.