Patient Center

At Kennedy Eye Associates and Roseville Opticians , we believe in continual improvement of our services. Please take a few moments in our patient center and share your experience with our office. We appreciate your feedback!

patient center I had a positive experience patient center I had a negative experience

Online Forms

Speed up your visit by completing the necessary form(s) below. For your convenience, you can either fill the form(s) out online or download and print the form(s) and bring it with you to your appointment.

Patient Health History - Download & Print

Patient Authorization to Release - Download & Print

Patient Cataract Post-Operative - Download & Print

Patient Optomap and QuantifEye Form - Download & Print


Payment Options

At Kennedy Eye Associates and Roseville Opticians, our mission is to provide quality service and products at reasonable pricing. We accept the following payment methods:

  • Cash
  • Check
  • Visa, MasterCard, American Express, and Discover
  • Flexible Spending Plans
  • Health Savings Accounts (HSA)
  • Care Credit

Participating Insurances

  • VSP
  • Medicare
  • Blue Cross Blue Shield
  • Preferred One
  • Medica
  • United Health Care
  • Health Partners
  • Ucare
  • Cigna

Our practice accepts most insurance plans. Coverage may vary from one plan to the next. Please call our office to verify your benefits before your visit.