Patient Center

At Defiance Optometric Group we believe in making your experience at our office remarkable. Please share your comments with us so we can continue to improve!

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Patient Center Online Forms

Speed up your visit by completing the necessary form below. For your convenience, you can download and print the forms and bring it with you to your appointment.

Welcome to Our Office Form (Required) - Download & Print


Payment Options

Defiance Optometric Group has products and pricing to accommodate all budgets for your eye care and eyewear needs, including eyeglasses, contact lenses, routine office visits and medical office visits.

Our Office Accepts:

  • Cash
  • Check
  • All Major Debit and Credit Cards (Visa, MasterCard, American Express and Discover)
  • Flexible Spending Plans
  • Health Savings Accounts (HSA)
  • Medical Savings Accounts (MSA)

Participating Insurances
We accept VSP, EyeMed, Spectera, Davis Vision as well as most other vision and medical insurances. Coverage may vary from one plan to the next. Please call our office to verify your benefits before your visit.