If you’re interested in our Bladeless LASIK program fill out the form bellow to find out if your are a candidate and obtain more information on the procedure delivered right to your home.


Are you at least 18 years of age?(required)

Have you had reasonably stable vision for at least one year (meaning there is no significant change in the strength of your prescription)?(required)

Do you have generally good eye health?(required)

Do you have a degenerative or autoimmune disease?of your prescription)?(required)

Do you wear contact lenses or glasses?(required)

Would you like more information on our Bladeless LASIK procedure?(required)