LASIK Candidacy | Corneal Associates of New Jersey

Are You A Candidate for LASIK?

How old are you?

You have difficulty seeing: Far, Near, Both?

What type of vision correction do you wear?

Are you interested in seeing up close (reading) without glasses?

How would your life improve by decreasing your dependence on corrective glasses or contacts?

What kind of work do you do?

What hobbies and activities are important to you?

Over 98% of patients, millions of Americans have legal driving vision (20/40 or better) after vision correction surgeries. Despite the excellent safety profile of these surgeries, are you willing to discuss the risks with a LASIK coordinator and doctor at our practice?

If you prefer, our LASIK counselor could call, email, or mail information to you. (We would never distribute or sell address, phone or email lists.) When is the best time to call?

10.

General Info

Name:

Phone:

E-Mail:

Address:

State:

Zip:

11.

Have you been told that you are a LASIK candidate?

12.

If you have been told that you are not a candidate for LASIK, would you like to hear about other possible options?

13.

Many patients tell us that deciding on vision correction surgery is a process. Where are you in the decision making process?

14.

5 + 3 =

Reduce or eliminate your need for glasses and contacts take your vision beyond glasses, beyond contacts, possibly beyond 20/20! Corneal Associates of New Jersey is here for you, offering complete and unbiased information and advice to help you choose the ideal treatment for your situation, resulting in your BEST POSSIBLE VISION.

Call now for your appointment: