Patient Resources

If this is your first visit to Coffman Vision Clinic, welcome! Please fill out this online form prior to your appointment.

NEW Patients Form

Please download if there are any eye diseases or concerns that have been monitored by another physician.

Patient Records Release (pdf)

Insurance We Accept

We accept most insurance plans including medicare and medicare supplementals. Medical insurance accepted for certain conditions. We do not accept OHP/Medicaid.  Contact us for more information.

Don’t Have Insurance?

If you do not have insurance, we offer 10% off exams and glasses.

If you do not have vision insurance but are interested, go to: 

VSP Vision Plan

Set your sights on living a full and active life.

Don’t let costly procedures stop you or your family from seeing better. Discover the ways you can use your CareCredit healthcare credit card to pay for the cost of vision care.


Care Credit credit card | Coffman Vision Clinic in Bend OR

Vision and eye care

Here are just some of the vision care procedures you can pay for with your CareCredit healthcare credit card:

  • Routine eye check-ups
  • Sunglasses
  • Dry eye treatments
  • Safety Glasses
Apply Now

We are happy to share our “Your Eye Health” blog posts. Here are our latest articles:

Patient Information


To help serve you better, please bring with you:

  • current glasses, (or a copy of your latest eyeglass prescription, if you have it)
  • and/or contact lens information,
  • sunglasses,
  • picture ID,
  • insurance cards (don’t forget, if participating in a Flexible Spending Program, you may be able to use the account to pay for portions of your eyecare not covered directly by your insurance plan)
  • medications lists,
  • info on frames you like or lenses you’ve researched,
  • and please COMPLETE the NEW PATIENT FORM before your eye exam or office visit. This will save you time and make the office administration process easier.

We are here to serve you. please call if you have any questions  (541) 389-4774

What to expect during Your Exam

During your exam, we will check the health of your eyes either by: 

Optomap Retinal Imaging, or

Dilating your eyes with eye drops. 

Please review your options below to help decide which option is best for you.

Optomap Retinal Imaging

Optomap is the doctor’s preferred method to check your eye health and a convenient alternative that has no lasting side effects. It provides a digital image that can be used to track the history of your eye health. This service is offered for an additional $35.00.  Click here for more information on Optomap retinal imaging.

Dilating your eyes with eye drops

With dilation be prepared for light sensitivity and near vision blur for about 4 hours. Remember to bring sunwear and/or a driver if you feel it is necessary.  Dilation is included in the exam price.

If you have any other concerns or questions please contact us.

Thank you!

We look forward to seeing you for your eye exam.

We are here to serve you. please call if you have any questions .

Call (541) 389-4774 Request an Appointment