The First Step to Clear Vision Congratulations! You’ve taken to first step to reducing or eliminating your need for glasses and or contact lenses! Please fill out the form below and we will contact you to set up a free LASIK consultation. Name First Last Phone*Email What is your preferred method of contact?PhoneEmailEitherHow Did You Hear About Us?Please ChoosePatient ReferralDoctor ReferralInternetDrive-ByRadioOtherWhat Do You Currently Wear?GlassesContactsReading GlassesCheck All That ApplyPreferred Consultation Date/TimeTuesday 8a-12pFriday 8a-12pFriday 1p-5pWhat Is The Best Time To Reach You?*MorningAfternoonEveningQuestions?