PERSONAL INFORMATION
   
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 YOUR EYES
 

Are You (or do you have)?

Near-Sighted -- see close objects clearly
Far-Sighted -- see distant objects more clearly than you see close objects
Astigmatism -- objects are blurry regardless of distance
Presbyopia -- you only wear glasses to read

When do you wear your glasses or contacts?

All the time
Only when it is dark
When I drive
When I read  

 
 ADDITIONAL INFORMATION & QUESTIONS
 

Please use this space to include any additional information you may feel is relevant, or ask any additional questions:



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Would you like to attend a FREE Lasik Seminar? 

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 SUBMIT FORM

 

 


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If you prefer to Call Direct and Schedule an Appointment, Please dial
 
(248) 851-7450




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