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 *

    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 +91 9990110596 for appointment scheduling.