New Patient Form

Registration

Please complete the Patient Registration form prior to your first visit. It is important that the information you provide be accurate since we will rely on this data to diagnose and treat you. Please advise us whenever there is a change of address, telephone number or insurance coverage.

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What Sets Us Apart?

  • 2 Locations
  • Advanced Technology
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  • 18+ Years in Business
  • 100% Blade-Free Lasik
  • Friendly & Skilled Professionals
  • 26,000+ Successful Refractive Surgeries

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