info@eyesightnh.com

Patient Portal

Request Appointment

Cataract Self-test

Financing and Patient Information

Preparing for your first office visit is easy. Please download all of the forms below and fill them out in the comfort of your home to save time in the waiting room.

New Patient Introduction to Practice
New Patient Information
Medical History Questionnaire
Preferred Language Form
E-Prescribing Consent

CareCredit healthcare credit card for better vision

carecredit-apply-now

There is an easier way to pay for your vision care including LASIK. We’re pleased to accept the CareCredit credit card, North America’s leading patient healthcare financing program. CareCredit lets you begin your procedure immediately — then pay for it over time with monthly payments that fit easily into your monthly budget. Whether you’re considering LASIK, need cataract surgery, oculoplastic surgery, or it’s simply time for new glasses or contacts, CareCredit can help you see clearer, sooner.

Payment Calculator

 

Your healthcare credit card

CareCredit is the credit card exclusively designed for healthcare services. CareCredit offers special financing on purchase of $200 or more* for healthcare procedures not commonly covered by insurance, including LASIK and Premium-IOLs. Why put off improving your vision tomorrow, when you can see clearer today?


*Subject to credit approval. Minimum monthly payments required. Visit www.carecredit.com for details.

Contact Us

Portsmouth Office
155 Borthwick Avenue, Suite 200 E.
Portsmouth, NH 03801
603-436-1773
1-866-302-5327

Exeter Office
192 Water Street
Exeter, NH 03833
603-778-1133
Toll Free: 1-888-222-EYES

Somersworth Office
267 Route 108
Somersworth, NH 03878
603-692-7500
1-866-302-5327