LASIK Test - Grandview LASIK Center

Our Office & Technology
Laser Vision Correction
Affordability
Patient Education
- Educational Video Library
Contact Us

FIND OUT IF YOU COULD BE A CANDIDATE FOR LASIK!

* Indicates required field

Do you wear contact lenses or glasses? *

Contact Lenses Glasses

Is it important for you to be active without having to wear glasses or contacts? (Ex. swimming or sports) *

Important to NOT have glasses/contacts I don't mind wearing glasses/contacts

How old are you? *

Under 21 21 - 40 41 - 69 Over 69

Do you have trouble seeing far or close? *

Up Close Far Away

Would you like to be able to read without glasses? *

Important to NOT have glasses/contacts I don't mind wearing glasses/contacts

Would your job performance improve if you no longer had to wear glasses or contacts? *

Yes No Maybe

Are you interested in learning more about the procedure from our LASIK coordinator? *

Yes No

Name *

First

Last

Email *

Phone Number *

Submit

The best way to find out if you're a LASIK candidate is to schedule a FREE evaluation.

Schedule a FREE LASIK Evaluation

Contact Us

Monday - Friday 7am - 7pm
(760) 414-3070
Info@GrandviewLASIKcenter.com

Location

477 North El Camino Real,
Suite C303
Encinitas, California 92024

Privacy Policy | Accessibility • ©2019 Grandview Lasik Center
LASIK Website Design by Medical Site Solutions

Our Office & Technology
Laser Vision Correction
Affordability
Patient Education
- Educational Video Library
Contact Us