Patient Resources
Patient Forms
Please use the links below to download printable PDF versions of our patient forms, and bring them with you on your visit to our offices:
- Patient General Information
- Kennedy Vision Health Center HIPPA Policy
- Optomap-Consent-Form
- Patient History Form
- Patient Survey
Financing
As a service to our patients, Kennedy Vision Health Center is pleased to offer the CareCredit card, North America’s leading patient payment program. CareCredit has a full range of payment plans to meet every financing need, including no interest and low interest options.
No Interest Payment Plans
- 6 month plan options (click for details)
- No interest if the balance is paid within the specified time period
- Low minimum monthly payments
- 6 month no interest
Extended Payment Plans
- 24, 36 & 48 month plan options (click for details)
- For procedure fees from $1,000 and up
- Monthly payments as low as $25 for a $1000 fee balance
- Extended Payment Plans
