Patient Center

Welcome to the patient center! At Bensenville Eye Care, 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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Patient Portal

Visit our Patient Online Portal.

What to Expect Upon Your Visit

Upon your arrival, our staff will welcome you as a member of our practice. If you haven't already done so online, we will ask you to complete a few forms. This paperwork provides us with your health history and other information related to providing you with the best eye health and vision solutions.
Bensenville Eye Care Staff

Online Forms

Please fill out the new patient form and then hit the submit button to send the information directly to our office.

New Patient Form - Submit Online

New Patient Form (Spanish) -  Download & Print

HIPAA (English) - Download & Print

HIPAA (Spanish) - Download & Print

Payment Options

Bensenville Eye Care 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. Our office accepts:

  • Cash
  • Check
  • Visa, MasterCard and Discover
  • CareCredit
  • Flexible Spending Plans
  • Health Savings Accounts (HSA)
  • Medical Savings Accounts (MSA)

Participating Insurances
We accept most insurance plans at our office including: Vision Service Plan, EyeMed, Vision Care Plan, Medicare, Medicaid and all PPO medical insurances. Many plans and coverage vary. Please call our office and our staff will verify and explain your benefits before your visit, at no charge.