Patient Forms

Forms to Complete

About Dilation

Please download, fill out, and print our four patient forms by clicking on the links below. Please bring these forms with you to your appointment.

  1. Assignment of Benefits
  2. Declaration of Benefits
  3. Demographics
  4. HIPAA

Insurance Information

We accept most major PPO insurances:

  • Medicare
  • Medicaid
  • Culinary
  • Aetna
  • Cigna
  • Anthem
  • Blue Cross Blue Shield
  • Teacher’s Health Trust
  • Universal
  • St. Mary’s
  • Galaxy
  • Great West
  • Humana Choice Care (PPO Only)
  • Prime Health
  • USA Health

If you have any question as to whether we take your insurance, please do not hesitate to call us at 702-816-2525 as this list is not all-inclusive

Dr. Swanic doing a LASIK pre-operative check on a patient in Las Vegas.
Scroll to Top

Thank You For Reaching Out!

One of our staff will return your message as soon as possible.