Payment Policy & Informed Consent Acknowledgement

EFFECTIVE DATE: NOVEMBER 1, 2026 At Knight Vision Northwest, we are committed to providing exceptional eye care while maintaining fair and transparent pricing. To help offset rising credit card processing fees without increasing our base prices for services and eyewear, a 3% credit card surcharge policy will take effect starting November 1, 2026.

 

1. Credit Card Surcharge Policy (3%)

• Surcharge Rate: A 3% surcharge will be added to all transactions paid with a credit card starting November 1, 2026.

• Purpose: This fee reflects the actual processing fees charged by credit card merchants, allowing us to keep base service fees equitable for all patients.

• Itemized Transparency: All surcharges will be clearly displayed for approval when paying on our portal or terminal. This will show on your receipt as a separate itemized line.

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2. Fee-Free Payment Options

• Avoid Extra Charges: Patients can completely avoid the 3% fee by using any of the following payment methods:

• Debit Cards (including Debit FSA/HSA cards)

• Personal or Cashier's Checks

• Cash

 

3. Flexible Spending & Health Savings Accounts (FSA/HSA)

• Debit-based FSA/HSA cards are exempt from surcharges under payment processing rules and will be processed fee-free.

• Online Invoicing Note: If paying an online invoice with an FSA/HSA debit card, please contact our front desk to process the payment directly over the phone fee-free.