Patient Forms and Information

Coatesville, PA Vision Care

Dr. John Vilcheck Family Eye Care

We proudly accept most vision insurance plans including Aetna, CIGNA, Coatesville Area School District,  Eye Med, Vison Care, Spectera, Liberty Optical, Optum Health, United Healthcare, Medicare and many others.  If you have any questions about the specific plans we take, please call today for more information.

We also participate in the VSP vision insurance plan network.  To learn more about this plan, visit VSP at www.vsp.com.

For first time patients, please print and fill out the forms below before your appointment.

Welcome Form

Medical History Form


Office Policy Regarding Appointment Changes:

Appointments may be changed at any time as we fully understand life’s complexities. PLEASE provide 24 hours notice for cancellations. However, if you do not show up for a scheduled appointment or fail to cancel the appointment in advance there will be a charge for the "No Show" appointment. Thank you for your understanding.

Contact Dr. John Vilcheck Family Eye Care today at 610-383-6449, or browse our website for more information about optometry services, contact lenses and frames or about us.

Vision Doctor - Coatesville, PA - Dr. John Vilcheck Family Eye Care

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