Call Toll Free 888.539.3937

For your convenience and to save time, you may print these forms and bring them in on your first visit.

New Patient Forms

  • Medical History
  • Release and Authorization
  • HIPPA Form
  • New Patient Information

    LASIK Information


    Download Adobe PDF reader to view these forms if needed.


    Contact Us

    If you live in Columbus, Central Ohio, West Virginia, or Kentucky and would like to schedule a free consultation with our LASIK vision correction specialist, please contact us by filling out the form below.