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Patient Forms

Patient Registration Notice of Privacy Practices
Pajka Eye Center Brochure Medical History Forms
Information Sheet for Eye Surgery Center  



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 0% no interest payment plans available as well as 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.

 

 
       
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