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Schedule A Vision Correction Evaluation

LASIK AND VISION CORRECTION

To have one of our Vision Correction Counselors contact you to arrange for a vision correction evaluation, please complete this form and click the SUBMIT button. If you prefer to contact us directly, click here for contact information.

First Name *	Last Name *
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Date of Birth (mm/dd/yyyy) (date of birth used only* to verify age)* You must be at least 18 years old to schedule a screening

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You made a dream come true. It's a great gift to open your eyes after 3 years and to see your wife and daughter. There isn't enough thanks in our hearts to express our feelings for you and your amazing staff.

Thanks again and forever, S.F.

P.S. I truly hope somebo...

Thanks again and forever, S.F.

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