1. How old are you?
2. Select your gender
3. Which of the following statements best reflects your primary reason for seeking LASIK surgery?
4. Like all surgical procedures, LASIK has the risk of complications, and even complication-free procedures can result in less than 20/20 vision. Are you willing to educate yourself about those risks, accept a reasonable risk if you are and appropriate candidate, and comply with a schedule of post-surgery medications and follow-up exams?
5. Do you have any of the following conditions? (Please select all that apply.)
6. Are you currently taking medications, such as steroids or immunosuppressants which can slow or prevent healing?
7. Do you have any of the following conditions? (Please select all that apply.)
8. What type of refractive error do you have?
9. Do you have astigmatism?
10. What level of nearsightness (myopia) do you have?
11. What degree of astigmatism do you have?
12. Has your vision correction — that is your glasses or contact lens prescription — changed over the past year or two?


Based on your responses you may be a good LASIK candidate.
Please call us to schedule your consultation

You may not be a good candidate for LASIK

However, you may schedule an evaluation to determine if other options for spectacle independence may be right for you.


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