Denver Colorado LASIK Candidacy Self Evaluation Test LASIK Self Evaluation Test

LASIK Candidacy Self Evaluation Test for Colorado

Cutarelli Vision offers a full range of vision correction options in Denver and Fort Collins. We choose the optimum vision correction procedure or solution to suit individual needs beyond LASIK. To find out if you might be a good candidate for LASIK or another procedure, please complete the form below and our vision correction coordinator will contact you to discuss the results and possible next step.

For optimal results, please fill out this test completely.
Those marked with * are required for a response.

This short questionnaire is not to be considered a substitute for a proper eye examination and is offered simply as a guide to help you decide if LASIK should be on your "to do" list. The only way to know if LASIK is right for your eyes is to have a thorough LASIK Evaluation.

Urgent or private medical information should NOT be sent by e-mail or via our web page. E-mail and web page inquiries are usually reviewed within 1-2 business days. Please read disclaimer below form.

Under 20
20-39
40-59
60+
Myopia (nearsightedness)
Hyperopia (farsightedness)
Both
Astigmatism
Glasses
Contacts
Both
Yes
No
Yes
No
Yes
No
Yes
No
A positive impact on my lifestyle (better appearance, freedom to play sports, etc)
Better vision in general


MEDICAL AND PRIVACY WARNING - DISCLAIMER:
Medical Emergencies must call the office 303-486-2020 or 970-225-2300 for the doctor on call. If you are unable to establish a dialog with Dr. Cutarelli's office in these cases, please urgently seek the nearest ophthalmologist or emergency room.

Urgent or private medical information should NOT be sent by e-mail or via our web page. E-mail and web page inquiries are usually reviewed within 1-2 business days. Information transmitted by e-mail or via our website may be viewed by others, and Cutarelli Vision cannot guarantee the privacy of any information transmitted in this way.

Dr. Cutarelli's office will endeavor to promptly respond to your inquiry, but should you have an eye emergency, such as sudden loss of vision, sudden onset of severe eye pain, or sudden onset of severe eye redness, you will need urgent attention.

For LASIK Risks and Side-Effects, Click Here.


The Cutarelli Vision Promise

Dr. Paul Cutarelli is first and foremost concerned about what is best for you as his patient and strives diligently and with great care to achieve the goal of your best possible vision. We invite you to call us today for your personalized consultation.


Cutarelli Vision
Denver, Colorado Office
303-486-2020
Map and Directions
7887 E. Belleview Avenue, Suite 180
Englewood, Colorado 80111
Cutarelli Vision
Fort Collins, Colorado Office
970-225-2300
Map and Directions
2105 Bighorn Road
Fort Collins, Colorado 80525

Dr. Paul Cutarelli performs advanced technology diagnostic testing and treatment, as well as taking the time necessary to provide each patient with information needed to fully understand his or her condition and to achieve the best possible visual outcome.

Request an Appointment.

LASIK and Cataract Surgery Updates LASIK videos

Denver Location

303-486-2020
Denver, Colorado Eye Doctor, LASIK and Cataract Surgery
  • 7887 E. Belleview Avenue
    Suite 180 - (East of I-25)
    Englewood, Colorado 80111
    Click Here for directions

Fort Collins Location

970-225-2300
Fort Collins, Colorado, Eye Doctor, LASIK and Cataract Surgery
  • 2105 Bighorn Road
    Fort Collins, Colorado 80525
    Click Here for directions