Patient Forms

Any surgical procedure has risks, and LASIK is no exception. Before deciding to proceed with surgery, be sure to review carefully the informed consent document that your physician will give to you and which will provide you with the risks, benefits, and alternatives to surgery.

Alphaeon Terms and Conditions 1. Interest will be charged to your account at a variable APR of 28.99% from the purchase date if the purchase amount is not paid in full within the promotional period or if you make a late payment. To avoid late fees, you must make your Total Minimum Monthly Payments by the due date each month. The Minimum Monthly Payments may or may not be enough to pay off the purchase amount before the end of the promotional period. To make sure you are not charged the interest accrued at variable APR of 28.99%, you must pay the total promotional purchase amount within the promotional period. Required minimum purchase of $250 for the 6-month plan and $500 for the 12, 18, and 24-month plan. 2. If the balance is not paid in full within the promotional period or if you fail to make any payment when due, regular credit terms will apply and interest will be imposed from the end of the promotional period at the standard, variable APR of 28.99% based on the Prime Rate. Minimum monthly payments for this plan during the promotional period will be the greater of the amount of the purchase, including the calculated finance charges that will be assessed from the date of purchase through the end of the promotional period, divided by the number of months in the promotional period, (rounded up to the nearest $1.00); or $5.00. If you pay the required equal payment for this promotional plan, you should pay off the plan within the promotional period at the APR of 14.99%.

The material contained on this site is for informational purposes only and is not intended to be a substitute for professional medical advice, diagnosis, or treatment.Always seek the advice of your physician or other qualified health care provider.

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