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Am I a Candidate?

LASIK Self Test

Wondering if you are a candidate for LASIK or laser vision correction? Take our quick self-evaluation to view your vision correction options!

Your responses will be sent to our staff to better guide you as needed.

    What is your age group?
    Under 2020-3940-5960+

    Do you suffer from:
    Myopia (nearsightedness)Hyperopia (farsightedness)BothAstigmatism

    Do you usually wear glasses or contacts
    GlassesContactsBoth

    Do you currently require reading glasses?
    YesNo

    Are you in good general health?
    YesNo

    Have you ever had an eye injury or eye surgery?
    YesNo

    Have you ever been diagnosed with diabetic retinopathy, keratoconus, lupus or rheumatoid arthritis?
    YesNo

    What is your main expectation from having LASIK?
    A positive impact on my lifestyle (better appearance, freedom to play sports, etc)Better vision in general

    Name (required)

    Email (required)

    Phone

    Disclaimer: This survey does not replace an in-office exam, nor is it designed to provide online consultation. The information is intended for information purposes only and will help guide you to appropriate vision correction treatment(s) among the various procedures we offer today. It is not a determination for candidacy which can only be made through a thorough in-office examination and consultation

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