You can be assured that you will receive the best possible care at Chelsea Eye & Cosmetic Surgery Associates.
If you have health insurance, any required co-payments and deductibles will be collected from you as indicated by your health plan. Payment is requested at the time of your visit for any co-payments, deductibles or services not covered by your health care plan. If your plan requires you to obtain a referral for every visit to a specialist, and you do not provide us with this form, we cannot bill your insurance company for our services, and you will be responsible for payment. Payment can be made by cash, MasterCard, Visa, Discover or American Express.
Personal checks are not accepted.
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We look forward to meeting you, and we thank you for choosing Chelsea Eye & Cosmetic Surgery Associates. If you have any questions, please feel free to call us at 212.727.3717.
PRE-PROCEDURE INSTRUCTIONS CLICK HERE