Get 8: Test - Vision Vm Form - Ocr - Aflac

Filling out the 8: TEST - VISION VM FORM - OCR - Aflac online is a straightforward process that allows you to claim your eye exam and vision correction benefits efficiently. This guide provides clear step-by-step instructions to help you navigate the form with ease.

Follow the steps to complete the form accurately and efficiently.

1. Use the ‘Get Form’ button to acquire the 8: TEST - VISION VM FORM - OCR - Aflac and open it in your preferred document editor.
2. Begin by entering your policyholder information. Fill in the first and last name, middle initial, policyholder birth date, policy number, and postal code.
3. Provide the patient information, including the first and last name, middle initial, sex, and relationship to the primary policyholder. If the patient is a dependent child or spouse, ensure to indicate this.
4. Next, record the treatment date for the eye exam and the name, address, and phone number of the provider who performed the exam.
5. Complete the vision correction materials section by indicating whether the claim is for prescription glasses, frames, or contact lenses. Ensure to enter the purchase date.
6. Make sure to attach the bill when filing for the vision correction benefit, as it is a required document.
7. Finally, certify that all provided information is accurate by signing and dating the form. Keep a copy of the completed form along with any supporting documentation for your records.
8. Once you have completed all fields, save any changes made to the document, and choose to download, print, or share the form as necessary.

Complete your claim for the 8: TEST - VISION VM FORM - OCR - Aflac online now!