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Patient Center

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Appointment Forms

New Patient Forms
Existing Patient Forms
Forms For Minors (when Parent/Guardian will not be present)

Other Forms

If you would like to have your records sent to another clinic, please submit the following form:

Records Release Form
Notice of Privacy Practices

Patient Portal

Access Our Patient Portal

Insurance Coverage

We are participating providers for many insurance and vision plans. Whether we are in-network or out-of-network for your plan, we are happy to file most claims for you. If you do not see your plan listed below, contact our office at (763) 537-3213.

And many others...


Payment Options

At Crystal Vision Clinic, our mission is to provide quality service and products at reasonable pricing. We accept the following payment methods:

  • Cash
  • Check
  • CareCredit (click to apply)
  • Visa, MasterCard, American Express, and Discover
  • Flexible Spending Plans
  • Health Savings Accounts (HSA)

Cancellation Policy

Cancellation Policy / No Show Policy for Eye Examinations

We value your business and ask that you respect our business scheduling policies. Please notify us at least 24 hours in advance of any cancellation. Any cancellations with less than 24 hours notice are subject to a cancellation fee of $50.00.

Please call at least 24 hours in advance of your appointment to reschedule your appointment.

Patients who have a history of missing scheduled appointments or rescheduling less than 24 hours in advance will be offered same day only appointments in the future.

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We sterilize every frame a patient touches in a UV Cleaning Unit after each shopping appointment so you can be assured any frame you try on has been sanitized prior to your visit.