Thank you for visiting Modesto Eye Center webpage. The following questions are very basic and are only a small part of what we use to fully assess someone as a candidate for iLASIK procedure. A full examination by a medical doctor is necessary to determine your candidacy.
1. Age Group
2. Are you
Near Sighted(can only see object near you)Far Sighted(can only see objects in the distance)Astigmatism
3. Do you wear
GlassesContactsBoth Glasses and Contacts
4. Do you need reading glasses?
5. Have you ever had eye surgery?
6. Are you in good general health?
7. What is your intereset in LASIK (mark all that apply)?
Hate my glasses/contactsWearing contacts hurtsCan't play sportsConvenienceMilitary RequirementTired of expense of glasses and contacts
Please provide us with your contact information:
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