Eye Exam Service Pricing Sheet

$170.00

Finish: Glossy
Glossy
Matte
PDF Only
Amount: 250 prints
250 prints
500 prints
1000 prints
1 Branded PDF

Optometry Exam Fee Sheet – Transparent Pricing Template 💳👁️

Clearly communicate your fees with confidence and professionalism using this modern, easy-to-read pricing sheet—an essential tool for any optometry practice transitioning away from vision insurance or serving a high volume of self-pay patients.

Designed to support clear and consistent conversations at the front desk, this form helps reduce confusion, build trust, and present your services in a polished, straightforward format.

What’s included:

  • Categories for routine exams, contact lens fittings, medical visits, and glasses packages

  • Clean, organized layout for easy reference

  • Fully customized to reflect your pricing and services

Perfect for:

  • Practices moving away from vision insurance

  • Clinics with frequent self-pay patients

  • New practices focused on transparency and professionalism

  • Staff training to ensure consistent messaging

  • Streamlining front desk communication

Size: US Letter Landscape (11 x 8.5 in) 
Available in glossy or matte finish on standard paper.

Special Notes: Please attach logo prior to purchasing!