Lasik Evaluation Form

Complete this online form to know if you are a good candidate for lasik?
1) Do you have trouble in seeing distance or nearby ? *
2) What is your age ? *
3) What do you usually wear ? *
4) Has your glasses or contact lens prescription changed over the past year or two ? *
5) Have you ever had an eye injury or eye surgery ? *
Name *
Email *
Mobile *
Enter The Code *
Shortly you will receive a call from our lasik expert. A thorough LASIK Evaluation would be required to know whether you are a good candidate for LASIK or not. Schedule your LASIK evaluation today, call on 0135-2717500/505 for appointment scheduling.