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Online Forms

Speed up your visit by completing the necessary form(s) below. For your convenience, you can either fill the form(s) out online or download and print the form(s) and bring it with you to your appointment.

Patient Registration/History Form - Download & Print | Submit Online

Privacy of Practice Notice - Download & Print

Payment Options

Weaver Eye Associates has products and pricing to accommodate all budgets for your eye care and eyewear needs, including eyeglasses, contact lenses, routine office visits and medical office visits.

  • Cash
  • Check
  • Visa, MasterCard and Discover
  • Flexible Spending Plans


As a service to our patients, we are pleased to offer the CareCredit card, the nation's leading patient payment program. CareCredit lets you begin your procedure immediately—then pay for it over time with low monthly payments that are easy to fit into your monthly budget. So, you can begin your vision care today and conveniently pay with low, monthly payments. CareCredit offers a comprehensive range of No Interest and Extended Payment Plans for procedure fees from $1 to over $25,000. Apply for CareCredit below.

Apply for CareCredit

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DALLASTOWN, PA17313-9540

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East York
YORK, PA17402-2906

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West York
YORK, PA17404-4900

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1555 Highlands Dr, SUITE 180

Participating Insurances

Vision insurance can significantly decrease your eye care costs. At our Dallastown, PA practice, we want to ensure that your eye care is affordable. Our staff is happy to work with you to plan our your vision care finances. Below is a partial list of the insurance plans that we accept. To get a complete list, contact our practice today.

  • Aetna
  • Auto/Workers Comp Claims
  • Amerihealth
  • Blue Chip (NVA & Davis Only)
  • Capital Blue Cross
  • Caterpillar
  • CoreSource
  • Davis Vision
  • Devon
  • Eye Med
  • Geisinger Health
  • Health America/ Health Assurance
  • United Health Care
  • Keystone
  • Medicare
  • NCAS of Pennsylvania
  • National Vision Administrators
  • Pennsylvania Blue Shield
  • Plan Plus
  • South Central Preferred
  • Tricare Prime (Exam Only)
  • Vision Benefits of America
  • Vision Care Plan
  • Vision Service Plan

Feel free to contact our insurance coordinators with questions:

Dallastown Location – JoLynn Bortner
East York Location – Kelly Lawver-Noel
West York Location -Ashley Smith

* Certain insurances are MEDICAL only and cannot be billed for a vision exam.