At Mid Coast Vision Care, the health of your eyes is our top priority.

We perform careful exams and ancillary testing to evaluate the condition of your eyes and prescribe individual care.

Experience personalized eye care at our Belfast and Rockland offices.

Patient Info, Forms & Billing

Patient Info

Tips for you to have the best possible visit at Mid Coast Vision Care:

  • Be thinking of your eye health, any complaints or problems you may be having or have had recently.
  • Have a list of your medications including over-the-counter drugs.
  • Note any change in your medical history and family medical eye history.
  • Remember the times of your last dose of any eye drops.
  • Please have your health insurance cards with you.
  • If you wear glasses or contact lenses, please bring them with you.

We accept the following insurances, however, please contact us if you do not see yours. We may still be able to help.

Medicare, Maine Care, Anthem BC/BS


Forms & Billing

Please click the download button below to download the forms needed for your visit.


These forms can be filled out on your computer. Please print the completed forms out and bring them with you to your appointment.

You will need Adobe Reader or another PDF program to use this form Click here to download adobe reader for free.


NOTE: DO NOT EMAIL COMPLETED FORM. It must be printed on paper and brought with you.


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