Please fill out all information. This information will only be used to provide you a custom consultationspecifically suited for your vision, as well as to contact you.
(Birth Month and Year used only to verify age). You must be at least 18 years old to schedule a screening
What Procedure Are you Interested In?
How did you hear about us?
Do you need to finance your surgery?
Who's your Optometrist?
You can schedule your consultation appointment online, at a time that is convenient for you.
If you would like to schedule your appointment now:
If you would rather have us contact you to schedule your appointment or you have additional questions for our Refractive Counselors, please: