SCHEDULE YOUR FREE LASIK CONSULTATION

Scheduling your FREE VIP LASIK Consultation is your first step toward achieving the improved vision you have been dreaming of. At LaserVue Eye Center, you truly receive a comprehensive exam, a $250 value, free, with no obligation!

During the course of the exam we will be using the latest, most advanced technology to thoroughly determine if you are a good candidate for LASIK. You will personally meet with a LaserVue doctor who will answer any questions you may have. We’ll spend as much time as needed to provide you with all the information you need to make an intelligent, informed decision. In short, we want you to be completely comfortable with LaserVue Eye Center and with your decision to have LASIK.

1. PERSONAL INFORMATION       * indicates required field

* First Name:

Last Name:

Address:

City:

State:

* Zip:

Phone:

* Email:

Date of Birth:

mm/dd/yyyy

2. APPOINTMENT DETAILS

* Select a Location:

* Please select the day(s) that work best for you:
Monday    Tuesday    Wednesday    Thursday    Friday

* Please select the time that works best for you:
Morning (8am - 12pm) Afternoon (1pm - 5pm)



3. SPECIAL LASIK OFFERS

YES, I would like to receive Special LASIK Offers by e-mail.