LASIK Evaluation

If you would like to improve your vision and minimize or eliminate your need for glasses and contact lenses, please fill out the self-evaluation below.  Based on your responses, our staff will be able to determine whether an evaluation for laser vision correction or a medical eye exam will be most likely to address your needs.  We will contact you within a few days of receiving this form.

We perform laser vision correction using the VISX S4IR excimer laser and state of the art iDesign software platform for treatments customized to your eye.  Dr. Fernandez has a special interest in Advanced Surface Ablation, a procedure that provides the visual improvement of LASIK without cutting a flap in the cornea.

Do not use this form to report emergencies like eye pain or sudden loss of vision as it forwards to an account that is not monitored on nights and weekends.

LASIK Self-Evaluation

Contact Information