Records Request
Thank you for completing your Patient Registration form!
Please complete the following Records request form so we can obtain the
necessary records from your previous eye doctor.
Available Surgery Dates
January: 21st,22nd, 28th, 29th
February: 3rd,4th,5th,11th,12th,25th,26th
Contact Us To Request The Best Date For You
*Ask about Same Day Treatment Options*
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
Fax: (919) 510-6835