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

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Forms

Complete Your Forms Online Via Docusign, Download & Print Your Patient Forms, Release Requests of Medical Information and More…

Patient Registration Form

 

Please Complete your Patient Forms via DocuSign

to make your Lasik Consultation Quick and Easy.

 

 

 

 

Available Surgery Dates

February:  27th, 28th

March:  5th, 6th, 12th, 13th, 19th, 26th, 27th

 

Contact Us To Request The Best Date For You

 

*Ask about Same Day Treatment Options*

 

Need to have additional records sent to us?

 

Please Complete your Release Request via DocuSign

to make your Records Request Quick and Easy.

 

 

Need records from us?

Frequently Asked Questions

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

Fax: (919) 510-6835