Provider Forms

I wear glasses and contacts because (check all that apply)

I have trouble reading and seeing things up close

I have trouble driving and seeing things far away

I have astigmatism

What do you usually wear (check all that apply)

Glasses

Contacts

Reading Glasses

I don't wear correction and probably should

Have you ever had (check all that apply)

Where do you live your visual life (check all that apply)

I love the outdoors and am active

I love reading

I love participating in sports

I spend hours on my computer

What are your expectations after LASIK? (check all that apply)

I am fine wearing glasses for distance

I do not want to wear glasses for distance

I am fine wearing glasses for up close and reading

I do not want to wear glasses for seeing up close