Welcome to our Online Patient Center! Here you can get information about what to expect during your visit with Dr. Scott Bloom 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
Upon your arrival, our receptionist 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 vision solutions.
Patient Form
Download the necessary form(s), print it out and fill in the required information. Please fax us (Hastings: 269-945-3937, Wayland: 269-792-0520 your printed and completed form(s) or bring it with you to your appointment.
Patient Form
Download & PrintHastings Hours
- Monday
- 9:00am - 5:00pm
- Tuesday
- 9:00am - 5:00pm
- Wednesday
- 9:00am - 7:00pm
- Thursday
- Closed
- Friday
- 9:00am - 5:00pm
- Saturday
- Closed
- Sunday
- Closed
Wayland Hours
- Monday
- 9:00am - 5:00pm
- Tuesday
- 9:00am - 5:00pm
- Wednesday
- Closed
- Thursday
- 9:00am - 5:00pm
- Friday
- Closed
- Saturday
- Closed
- Sunday
- Closed
Payment Options
Dr. Scott Bloom offers 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
- Personal Checks
- ATM
- Visa, MasterCard, and Discover
- Flexible Spending Plans
- Health Savings Accounts (HSA)
- Medical Savings Accounts (MSA)
Insurance
We participate and accept most insurances including but not limited to:
- VSP
- Eye Med
- Medicare
- Medicade
