Zibute G. Zaparackas, M.D.
Yuri Kim Kern, M.D.
Paul A. Knepper, M.D., Ph.D.
Michael C. Giovingo, M.D.


New Patient Forms

If you called into our office between 10/8/2018 and 12/12/2018 to schedule an appointment, it may have been lost due to a software error.  Please call the office to confirm the appointment at 312-337-1285. 

Please read and completely fill out the attached new patient forms before your scheduled appointment.  Having paperwork finished upon arrival helps to ensure that you are seen in a timely fashion.

Please remember to bring your current insurance card with you.

To access New Patient forms, click on the link below, select open, and print from your computer.

New Patient Packet for Adults

Records Release Policy

For a copy of your records please fill out the records release form (link below) and fax or mail it to our office.  We will make every effort to get your records to you or your doctor’s office in a timely fashion, but we require a minimum of 30 days for processing.  Some records are too large to fax, and we will only be able to mail them.  If you have specific instructions or requirements please include this information on the records release form.  For further information or questions please call the office.    

Records Release Form

Frequently Asked Questions

How long will my exam last?
 A complete eye exam lasts between 60 and 90 minutes.

 Will my eyes be dilated?  Will my child's eyes be dilated?
A complete eye exam includes dilation.  This is done usually once a year. If this is your first time seeing us, expect for your eyes to be dilated.

 How long will my eyes stay dilated?
 Depending on the color pigment of your eyes, normal dilation lasts between 3 and 4 hours. The lighter the pigment, the longer your eyes may be dilated.  You may also want to bring a pair of sunglasses with you to the appointment as your eyes will be more sensitive to sunlight.  

 Does my medical insurance cover my exam?
 Most medical insurance companies do not pay for examinations that do not have a medical diagnosis.  This includes refractive errors, family history, school exams, and any other normal ocular exam.  For normal exams, payment is expected at the time of the visit. Please contact your insurance for questions concerning coverage.

 Does my vision insurance cover my exam?
 As medical doctors, we are only contracted with your medical insurance carriers.  Vision plans are designated for opticians and optometrists.  However, if your medical insurance does not cover your "routine exam" please request a detailed receipt in which you can file directly with your vision plan.

 Do you validate parking?
We ONLY validate parking at the Northwestern Self Park located at 222 E. Huron.  This is payable in our office for $11.30 cash only.  We do not accept bills greater than $20.00.  Validation is good for 4 hours from the time you entered the parking garage.

Helpful Information

More information regarding conditions and ocular diseases for children can be found at AAPOS.

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