Are You a Candidate? Find out today! Fill out this short form: Step 1 of 2 50% What is your age range?17 or younger18 to 2930 to 3940 to 4950 to 5960 or olderI usually wear (check all that apply) Glasses Readers Contacts Bifocals/trifocals Without glasses or contacts (check all that apply) I have trouble seeing distance I have trouble reading I’ve been told I have astigmatism What is your main concern with Laser vision correction?AffordabilitySafetyConvenienceExperience of doctorHave you ever had eye surgery?YesNoHave you had a LASEK evaluation before?YesNoIf you are a candidate, when would you like to have the procedure?Within one monthTwo to six monthsSix months or more Your NameYour Email Your PhonePhoneThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.
