Welcome to our Online Patient Center! Here you can get information about what to expect during your visit with Dr. Simon and Dr. Hochstetler as well as important forms you can complete before your appointment to save time.
We want your visit to be as stress-free as possible. Our staff will do everything we can to make sure your experience is pleasant and convenient. If you have any questions about these forms, please don’t hesitate to contact us.
What to Expect
When you visit our office, you will be warmly welcomed and we can answer any questions you may have about completing the paperwork so that Arsulowicz Eye Care may see you. Our team will work together to evaluate your eyes and provide relevant eye care treatment information, review your vision benefits and payment options, fit you for glasses or contact lenses, and focus on exceeding all of your expectations. If at any time you have questions about the process or your specific health information, please ask.
Patient Forms
New Patient Form
Complete OnlineCancellation Policy
Complete OnlineAcknowledgement of Notice of Privacy Practice
Complete OnlinePayment Options
Arsulowicz Eye Care believes in providing the best value for you and your family. We have products and pricing that aims to accommodate all budgets and our office participates in most insurance programs. For patients who have little or no vision insurance coverage, flexible payment programs may be arranged. To learn more about our payment options, please call our office directly.
Our office accepts cash, check, and major debit and credit cards including Visa, MasterCard, American Express, and Discover.
Office Hours & Info
- Monday
- 8:00am - 7:00pm
- Tuesday
- 8:00am - 5:30pm
- Wednesday
- 8:00am - 5:30pm
- Thursday
- 8:00am - 5:00pm
- Friday
- 8:30am - 1:00pm
- Saturday
- Closed
- Sunday
- Closed
616-453-8223
616-453-6262
[email protected]
- 3935 Lake Michigan Dr NW
- Suite 3
- Grand Rapids, MI
- 49534
At Arsulowicz Eye Care we believe in making your experience at our office remarkable. Please share your comments with us so we can continue to improve!
Don’t forget to use your:
- Flexible Spending Plans
- Health Savings Accounts (HSA)
- Medical Savings Accounts (MSA)
Insurance
We accept many insurance plans at our office. Many plans and coverage vary. Please call our office and our staff will verify and explain your benefits before your visit, at no charge.
Office Hours & Info
- Monday
- 8:00am - 7:00pm
- Tuesday
- 8:00am - 5:30pm
- Wednesday
- 8:00am - 5:30pm
- Thursday
- 8:00am - 5:00pm
- Friday
- 8:30am - 1:00pm
- Saturday
- Closed
- Sunday
- Closed
616-453-8223
616-453-6262
[email protected]
- 3935 Lake Michigan Dr NW
- Suite 3
- Grand Rapids, MI
- 49534
At Arsulowicz Eye Care we believe in making your experience at our office remarkable. Please share your comments with us so we can continue to improve!