Patient Forms

Pajka Eye Center HIPAA
Pajka Eye Center Medical History Forms
Pajka Eye Center Medication Sheet
Pajka Eye Center Notice of Nondiscrimination
Pajka Eye Center Notice of Privacy Practices
Pajka Eye Center Patient Registration

Pajka Eye Center Financing Plan

Our care and cost of laser vision (LASIK,PRK) is comprehensive. It includes a comprehensive occular examination, corneal mapping, pachymetry, the procedure itself, laser facility fee, any enhancements and post-operative care for 2 years. We know that everyone has different needs when it comes to financing, and we are glad to help you to arrange an individual and flexible plan that best suits your budget and needs. We currently have low monthly payment plans. We accept cash, Mastercard, VISA, Discover, or a money order for your procedure. 

Potential Financial Benefits to Laser Vision Correction

Laser Vision Correction is tax deductible if you itemize.  Please check with your tax expert for all of the details on this matter.   In addition, Medical Spending accounts, such as Flex credit or cafeteria plan, may allow you to set aside pre-tax dollars and pay a portion of your Laser surgery!

For more details, call Julie Bassitt, Director of Marketing & Refractive Services at
419-228-7642 or 888-621-2900.

Contact our office to learn more about our procedures or to make an appointment »


Copyright © 2006-2013 Pajka Eye Center and MedNet Technologies, Inc. All Rights Reserved.