Patient Center

Online Forms

Welcome to our patient center! Speed up your visit by completing the necessary form(s) below. For your convenience, you can either fill the form(s) out online or download and print the form and bring it with you to your appointment.

New Patient Health History Form (Required) - Download & Print

New Pediatric Patient Health History Form (Required) - Download & Print

Pediatric Exam Parent Tips - Download & Print


We strive to make your experience with us easy and enjoyable, and greatly value your feedback.  If you enjoyed your visit, let everyone know!  Please leave a review on Google or Yelp .  

If for any reason you were not absolutely pleased with your visit, let us know.  Patient satisfaction is our top priority and given the opportunity we will exceed your expectations.  Contact us directly by completing the Contact Form or give us a call and we will address any concerns immediately.   


Check our our NEW Referral Rewards Program

Refer friends and family and co-workers to get additional savings on your next frame purchase! You will receive an extra $5.00 off for every new patient that mentions your name at the time of their appointment. Send more, save more, and start earning rewards. As always, we greatly appreciate your business and referrals!


Participating Insurances

We gladly accept the following insurance plans at our office:

VSP, Cigna, Eyemed, Tricare, Davis Vision (out of network), Physicians Eyecare Plan, Community Eye Care, Advantica, Avesis, Superior, Medicare, United Health Care, Blue Cross Blue Shield, CHAMPSVA, and many more.  (If your plan is not listed, give us a call.  New plans are added often.)

Welcome Tricare Standard, Prime and Reserve Select members! As a preferred provider, you will find us in your My Base Guide or give us a call to schedule your next visit. We know the intricacy's of Tricare and can assist with prior-authorization for special treatments when needed as well as see you for a yearly eye exam.

As a Blue Cross Blue Shield eye doctor in Summerville we provide total eye care including full diabetic eye exams and dry eye evaluation with treatment to name a few.

Many insurances such as Medicare will cover your visit, allowing for a free eye exam once your deductible has been met. We also offer refractions (the test that gives your eyeglass prescription) during these medical eye exams for a small fee, this is not typically covered by medical insurance.

VSP Vision Insurance Monarch Eye Care

Copays and coverage will vary based on your specific plan.  Please call our office and our staff will verify and explain your benefits before your visit, at no charge.

Patient's with Davis Vision
We accept BCBS for your examination and Davis Vision out of network for your eyeglasses or contact lenses. This allows you to save more and get your glasses and contacts faster!  Save big by taking advantage of our discounts and sales while still getting reimbursement for your glasses directly from your insurance. We now make your glasses directly instead of with Davis Vision, so you'll enjoy better materials, better service and faster delivery of your glasses. And no worries, we will file the out of network form for you.


Payment Options

Monarch Eye Care has products and pricing to accommodate all budgets for your eye care and eyewear needs, including eyeglasses, contact lenses, routine office visits and medical office visits.

Our Office Accepts

  • Cash
  • All Major Debit and Credit Cards (Visa, MasterCard, and Discover)
  • Flexible Spending Plans
  • Health Savings Accounts (HSA) and Medical Savings Accounts (MSA)
  • CareCredit  *with 6 months no interest