Find out if you are a good candidate for laser vision correction

 
 

Answering these questions will help us determine if you are a good candidate for laser correction.

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Gender
How old are you?
You have trouble seeing: *

Do you have astigmatism? *
You wear: *
Has your diopter changed in the past year? *
If you are a good candidate, when you would like to have surgery? *
Do you have any of these eye diseases? *
Do you have any of these systemic illnesses?
Are you pregnant? *
Do you breastfeed? *
What is the main reason why you want the laser vision correction? *
How did you find out about us?

Name and surname: Please enter your first and last name!

Date of birth: Please enter your date and year of birth!

Phone: Please enter your phone number!

City: Please enter city you live in!

E-mail: Please enter your e-mail address!
 
 
 
 
 
 
 

Vaš upit je zaprimljen! Hvala Vam na povjerenju!

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