Laser Vision Correction Enquiry FacebookThis field is for validation purposes and should be left unchanged.Are you a candidate for laser vision correction? Your journey to visual freedom begins with an initial online assessment. Please complete the form below and our laser vision specialists will be in touch. First Name*Last Name*Email* PhoneTell us a little more about yourselfDo you wear...* Contact Lenses Glasses Both Type of Lenses* Soft Soft toric Rigid gas permeable (RGP) Type of Glasses* Single vision Bifocal Multifocal Has your script been stable over the last 12 months?* Yes No Have you undergone laser vision correction previously?* Yes No Do you suffer from dry eyes?* Yes No Do you engage in contact sports?* Yes No Do you have a family history of keratoconus?* Yes No Are you currently pregnant or breastfeeding?* Yes No Information for EyeHubHow did you hear about us?
