Patient Center

At Dakota Eye Care Associates, we believe in continual improvement of our services. Please take a few moments and share your experience with our office. We appreciate your feedback!

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Online Forms

You may save time in our office on the day of your appointment by printing and completing the Registration Forms. There are 2 forms ( 4 pages ) to be completed:

Patient Financial Information - Download & Print

Personal Medical History - Download & Print

Submitting your Patient Registration

Due to the secure information requested, please do not email the completed forms.

To submit the completed forms:

  • bring the forms with you to your appointment
  • mail the forms to our office*

Dakota Eye Care Associates
1540 Humboldt Avenue, Suite 201
West St. Paul, MN 55118

*If returning forms by mail, please postmark at least 3 days prior to your appointment to ensure ample delivery time.


Insurance & Payment

For your convenience, at Dakota Eye Care Associates, we will electronically direct bill the following insurance companies:

  • Aetna
  • America's PPO
  • BCBS
  • Cigna
  • Definity Health
  • DMERC
  • Health Partners
  • Medica
  • Medical Assistance Minnesota
  • Medicare and Railroad Medicare
  • Preferred One
    • Select Care
    • The Eye Care Network
      • Patient Choice
      • Medica Insights
    • Ucare Minnesota
    • Ucare for Seniors
    • United Healthcare
    • Vision Service Plan - VSP
    • Humana
    • UMR
    • Tricare
As you see we are affiliated with many insurance plans. For those that we do not direct bill we will be happy to provide you with appropriate receipts so that you may file for reimbursement on your own.

Flex dollars: For those of you that have available flex dollar plan money, please know that these dollars may be used for exam services, contact lens services, glasses, contact lenses, contact lens solutions and nutraceuticals. Ask our staff about this option.