Join

How to Join

Membership Enrollment Process

Step 1.  Review EyeAssure Provider Manual

Step 2.   Complete and submit the following forms:

Step 3.   Upon receipt by EyeAssure of Membership Enrollment Form and Participating Provider Agreement, you will be contacted by EyeAssure staff to obtain information needed to establish monthly bank draft for payment of membership fees.

               Membership in EyeAssure is effective upon initial payment of membership fees.