About | InSight Vision Group | Premium Eye Care in Colorado

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Boulder, Thornton & Longmont: 303-402-1000 Arvada, Denver, & Parker: 303-794-1111 Littleton: 303-991-9662

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InSight Vision Group Arvada InSight LASIK Boulder InSight Vision Group Boulder InSight Vision Group Denver – Yale InSight Vision Group Littleton InSight Vision Group Thornton InSight Vision Group Longmont InSight LASIK Parker near Lone Tree InSight Vision Group Parker near Lone Tree
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Advanced Dry Eye Cataracts Clear Lens Exchange Cornea Corneal Cross Linking Glaucoma ICL LASIK and PRK Floater Removal Presbyopia
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Are you a current patient?*

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No

First Name*

Last Name*

Phone Number*

Email Address*

Date of Birth*

Preferred Location*

InSight Parker

InSight Denver - Yale

InSight Boulder

InSight Littleton

InSight Longmont

InSight Arvada

InSight Thornton

InSight LASIK South

InSight LASIK North

I currently wear (check as many that apply)

Soft Contacts

Gas Permeable Contacts

Glasses

Readers

I am

Nearsighted

Farsighted

Astigmatic

Please describe the nature of your appointment (e.g., consultation, check-up, etc)*

LASIK Candidacy Survey

Please complete the following questions to help us provide you with an appropriate response.

First Name*

Last Name*

Email Address*

Phone Number*

Who is your current eye doctor?

Date Of Birth*

Have you had an eye exam within the last year?*

Yes

No

Which location would you prefer?*

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)

Previous Eye Surgery

A serious eye injury

Cataracts

Keratoconus

Diabetic Retinopathy

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

Would you be willing to review your level of candidacy with one of our InSight LASIK Counselors?*

Yes

No

Contact Insight Vision Group

About Insight Vision Group

Locally owned and operated, Insight Vision Group is committed to restoring, enhancing, and preserving the gift of vision for our patients in Colorado. Insight Vision Group has locations in Arvada, Boulder, Denver, Longmont, Thornton, and Parker near Lone Tree.