First Name
*
Last Name
*
Email
*
Phone
*
What do you wear?
Glasses
Contact Lens
Reading Glasses
Do you have your last prescription for glasses?
Yes
No
How soon are you looking to have Laser Eye Surgery?
ASAP
1-2 weeks
1-2 months
I just want information for now please.
Your consultation is an important step to determine if you're a candidate for No-Cut LASIK. During this appointment, we will conduct necessary testing and provide a free consultation. Because spots are limited, please confirm that you’re serious about attending. If you’re unsure, we kindly ask you to release the spot for someone else ready to take the next step toward clearer vision. Do You Agree To Show Up To Your Appointment?
*
YES
I agree to
terms & conditions
provided by the company. By providing my phone number, I agree to receive text messages from the business.
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