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:
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Categories for routine exams, contact lens fittings, medical visits, and glasses packages
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Clean, organized layout for easy reference
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Fully customized to reflect your pricing and services
Perfect for:
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Practices moving away from vision insurance
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Clinics with frequent self-pay patients
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New practices focused on transparency and professionalism
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Staff training to ensure consistent messaging
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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!