Download & Print Patient Forms

You may download the PDF, print & fill. Either fax, email or bring it with you.
Fax: 919-510-6835

Available Surgery Dates:

January:  24th, 25th

February: 1st, 7th, 8th, 14th, 15th, 28th

Same Day Treatment Options Available

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.