AM I A LASIK CANDIDATE?

You can choose better vision now. Take your first step and enter your information below and one of our dedicated LASIK Coordinators will reach out to you to discuss your options.

LASIK Consultation

Name
First Last
Email
Phone
Best time to reach you by phone?
What Is Your Age Range?*
Do You Have Trouble Seeing Far Away Or Up Close?*
I Usually Wear (Check All That Apply)*
- Glasses
- Contacts
- Readers
- Bifocals/Trifocals
- N/A
How Interested Are You In Being Able to Play Sports Without Glasses And Contacts?*
Are You Interested In Seeing Well Up Close (reading) Without Glasses?*
How Well Do You See At Night?*
What Is Your Main Concern With LASIK?*
Preferred Date For Consultation*
MM slash DD slash YYYY
Would you prefer a virtual or in-office screening?*
Which location do you prefer?
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AM I A LASIK CANDIDATE?

LASIK Consultation

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