Free LASIK Screenings

LASIK screenings are completely free, with no obligations. The screening will last approximately a half hour, during which our staff will evaluate your eyes for LASIK.

To schedule your screening, simply fill out the form below. Our LASIK Laser Refractive Surgery specialist will be happy to send you a packet of information about LASIK, and schedule your free screening.

Please provide the following contact information:

 
First Name
Last Name
Address
Address (continued)
City
State
Zip Code
Home Phone with Area Code
Email Address

If you know your refractive error or latest contact lens / glasses prescription, please enter it below:
Left Eye
Right Eye

Please enter any comments or questions you may have in the field below.

   

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