Patient forms

Save time during your appointment at Swan Vision by clicking the link below and printing the patient registration forms. Fill them out and bring them with you to your visit. 

Entrance Form

Insurances Accepted - please call us if your insurance is not listed as we are always accepting new plans

• BCBS

• Cigna

• Connecticare

• Harvard Pilgrim

• Medicare

• Medicaid

• United Healthcare

• VSP

• Aetna

• Eyemed (select plans)

• NVA (National Vision Administrators)

20/20 Referral Program

Swan vision values each patient and offers a 20/20 rewards program for patient referrals. Each patient that refers a family or friend for an eye exam receives a $20 credit towards their next eye wear purchase. The patient referred also receives a $20 credit towards their future eye wear purchase. No limit to credits that a patient can receive. 

Customer Loyalty Program

For further discounts on your eye care and eye wear ask us about our customer loyalty program.