Excellence in vision care since 1983
Insurance Direct Billing Consent Form:
This form must be filled out when insurance claims are submitted electronically by Dr. Archie Chung & Associates Optometrists at the Eaton Centre (220 Yonge Street, Toronto, ON, M5B 2H1) on the patient’s behalf and retained for two years in the patient file following closure of the patient file.
EXPERIENCING TECHNICAL DIFFICULTIES? PLEASE DO NOT WORRY!
If you can not complete our insurance consent form because you're currently experiencing any technical difficulties, please do not worry! Please inform our clinic of any challenges. We can also assist you directly in clinic. We are always striving to improve. If you have any questions or concerns, please contact us. Thank you.
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Excellence in Vision Care Since 1983