LASIK Self Evaluation Test

LASIK Candidacy Self Evaluation Test for Colorado

Cutarelli Vision offers a full range of vision correction options in Englewood 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.

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.