2353 Alexandria Drive, Lexington, KY | 859.224.2655
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“The Doctor’s Choice”
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Contact Us
About
Meet our Doctors
Surgery Center
Virtual Tour
Why Choose Us?
”The Doctor’s Choice”
Understanding LASIK
The LASIK Procedure
Do I Qualify for LASIK?
Educational DVD
The LASIK Experience
LASIK Risks
LASIK Alternatives
Visian ICL
Refractive Lensectomy
PRK
Other Services
Bioptics
Cataracts
Alcon Toric IOL
Catalys
Crystalens
Glaucoma
Diagnostic Tests
News
For Patients
Financing
Insurance and Payment
My Online Clinic
New Patient Forms
Find an O.D.
Contact Us
Do I Qualify for LASIK?
LASIK Qualification Questionnaire
The only accurate way to know if LASIK eye surgery is right for you is to have have a LASIK consultation at our office, but this quick self evaluation will give you an idea if you might be a candidate. Complete the form below and a LASIK specialist will contact you with the results.
Name
*
First
Last
Email
*
Phone
*
Are you in good general health?
Yes
No
Do you wear glasses or contacts most of the time?
Glasses
Contacts
How would you rate your quality of night vision?
Good
Fair
Poor
Do you currently wear reading glasses?
Yes
No
Which is the most important issue for you regarding LASIK?
*
Outcome
Affordability
Being free of my glasses or contacts
Do you have any apprehensions or confusions about LASIK?
Yes
Possibly
No
Are you aware of the technical benefits of LASIK?
Yes
No
Do you have any of the following?
Myopia (Nearvision)
Hyperopia (Farvision)
Astigmatism
How did you hear about us?
Friend/colleague
Facebook
Search engine
TV
Radio
Other
Please define "other":
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People Who Love Us
"I had LASIK surgery 7 months ago. It was the best decision I’ve ever made! I see better now than I did while wearing contact lenses. It is amazing!" Davis M.
Latest News
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Learn About LASIK
The NEW Catalys!
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