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CALL OR TEXT: (919) 510-6830 [email protected]
2501 Atrium Drive, Suite 200
Raleigh, NC 27607

GET DIRECTIONS

Forms

Download & Print Patient Forms

Patient Registration Form

Follow a few simple steps to make your Lasik Consultation Quick and Easy.

 

2. PRINT & FILL OUT THE FORM

 

3. EITHER FAX, SCAN & EMAIL, OR HAND IN THE FORM UPON YOUR VISIT TO TRAVERS LASIK VISION CARE.

 

Fax: 919-510-6835

 

Email: [email protected]

Available Surgery Dates

 

November:  21st, 22nd

 

December:  5th, 6th, 13th, 30th

 

January:  3rd, 9th, 10th, 16th, 17th, 23rd, 24th, 30th, 31st

 

Contact Us To Request The Best Date For You

 

*Ask about Same Day Treatment Options*

 

Need records from us?

Frequently Asked Questions

Can I submit the form online?
Very soon! We are working to bring you a HIPAA compliant solution that will allow patients to securely submit their information by filling it out online!
Do I need to bring the paperwork with me?
You may submit by fax or email, but it is always best to bring a copy with you, just in case.
Do I need to do bring anything with me to my free consultation?
Yes, bring your contact lens boxes and glasses, if available, and your schedule. For convenience, most patients like to schedule their procedure following their consultation.

Interested in a Free Consultation?

Fill out the form below and someone will contact you shortly

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2501 Atrium Drive, Suite 200
Raleigh, NC 27607-6452