Wednesday, 10 March 2010

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Location:

465 W. Channel Islands Blvd.
Port Hueneme, CA 93041

Hours:

M-F: 8:30 am - 5:00 pm

Phone:

(805) 486-3585

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Services

Eye Medical Care
Eye Examinations
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Vision

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Eye Disease

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Latest News

December Blog

November went so fast that I really didn't find the time to write anything. I'm sure December will go even faster. Last month the office did a promotional mailing to our Medicare patients. It off...
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October Blog

Well, it has finally begun. Today we switched over to our new Electronic Medical Records (EMH) software. Let's just say it wasn't exactly a smooth transition. When you're used to writing on pape...
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September Blog

The office is moving closer to being paperless. The hardware is ready to go. The software is now installed. Training on using the new electronic medical record software begins this week. I hop...
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August Blog

If you have Medi-Cal insurance, there is some bad news. The state has discontinued funding for optometric services for adults. They will not cover eye examinations, glasses. or medical care. If...
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Economic Stimulus Plan

In an effort to do our part for the lagging economy, we are pleased to offer "The Dr. Steensma Economic Stimulus Plan". If you buy a second or third pair of glasses at the same time, the second an...
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Patient Information Form

Please answer these questions so we may better serve you.
Last Name*	Gender	Male Female
First Name*	Date of Birth*
Guardian if child	Age
Title	Social Security #
Nickname		Married Single
Address*	Employer
Address	Occupation
City*	Referred by
State Zip*	Date Last Exam
Home Phone*	Cell Phone
Day Phone	Pager
E-Mail	Fax
Medical Insurance 1	Plan Name
HMO PPO POS EPO	Co-Pay
Other	Insured:	Self Spouse
Medical Insurance 2	Plan Name
HMO PPO POS EPO	Co-Pay
Other	Insured:	Self Spouse
Vision Insurance	Insured:	Self Spouse
Insured Name	Insured DOB
I request that insurance benefits be paid to Dr. Steensma. I allow the release of any personal information necessary to determine insurance benefits. I understand that Dr. Steensma’s office will verify insurance benefits as a courtesy. In the event of the insurance company denying benefits, I will be responsible for paying the charges. We hope that you will find your visit to our office to be a pleasant and interesting experience. If your eyes are dilated during this visit, your vision may be blurred and lights will be bright. DO NOT LEAVE UNTIL YOUR VISION IS SAFE FOR DRIVING!
Name:	Date:
Sign:	Guardian Sign: