Obtain Further Information - Laser Vision Correction

Laser Eye Surgery :: Schedule LASIK Consultation

:: What is LASIK?	:: Schedule LASIK Consultation	:: LASIK Monovision
:: What is Custom LASIK?	:: LASIK Fees and Payment Options	:: LASIK Enhancements
:: What is Epi-LASIK?	:: LASIK Eye Surgery Costs	:: Laser Eye Surgery & Diseases
:: LASIK Practice Locations	:: LASIK and Contact Lenses	:: Lens Replacement Surgery
:: Choose a LASIK Surgeon	:: LASIK Risks and Complications	:: Verisyse Implantable Lens
:: Questions for LASIK Surgeons	:: LASIK Contraindications	:: Visian ICL Implantable Lens
:: Am I A LASIK Candidate?	:: LASIK Alternatives	:: Multifocal Lens Implants
:: LASIK Questions	:: LASIK and Dry Eyes	:: Dry Eyes & Dry Eye Syndrome
:: LASIK Experience	:: LASIK and Presbyopia	:: Presbyopia & Vision After 40
:: LASIK Information Checklist	:: Laser Technology for LASIK	:: BOTOX ® & Cosmetic Plastic Surgery
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The Havener Eye Institute - Dublin
OSU Vision Surgery & Laser Center

Refractive Surgery 614-761-3311

Schedule a LASIK Consultation

There are many different types of Laser Eye Surgery including LASIK, Custom LASIK
and other LASIK Eye Surgery procedures such as Epi-LASIK and monovision LASIK.
We can help you determine if LASIK Surgery is right for you and if so,
which procedure will help you achieve the best possible results.

Schedule your LASIK Consultation Today!
Please complete the following form
Note: ALL Fields are required items(*)

First Name:*
Last Name:*
Address:*
City:*
State:*
Zip:*
Day Phone:*
Evening Phone:*
E-mail:*

Please Answer The Following Questions

I wear

Glasses Contact Lenses
Bi focals / Reading glasses

I wear my glasses and/or contact lenses to see

Distance Near Both Distance and Near

I am interested in having Laser Vision Correction within

the next month 6 months

3 months 12 months

Please Indicate Your Acceptance.

Please contact me to schedule a

LASIK Consultation
A Treatment Date

Please contact me regarding

Corporate Benefit Programs
An affordable payment plan

Please include me in further
informational mailings

Please select the best time to be reached by our Refractive Surgery Coordinator:

For Florida Locations: The patient and any other person responsible for payment has a right to refuse to pay, cancel payment, or be reimbursed for payment for any other service, examination, or treatment which is performed as a result of and within 72 hours of responding to the advertisement for the free, discounted fee, or reduced fee service, examination or treatment.

updated 10/20/06