Home
About
Our Staff
Meet our Doctors
Blog
LASIK
Lasik Consultation
Lasik Self Evaluation
Cataracts
Premium Lens Implant
Premium Lens Self Test
Eye Health Examinations
What is an Eye Health Examination
Additional Testing
Common Eye Conditions
Optical
Eyewear Gallery
Hoya Lens Technology
Contact Lenses
Contact Lens Center
Contact Lens Fitting and Evaluation
Order Contact Lenses
Dry Eye Specialists
Patient Center
Patient Forms
HIPAA Policies
Billing and Insurance
Promotions
Helpful Articles
Reviews
Blog
Contact Us
Call Us Today:
(972) 775-8000
On Call 24/7
Request Appointment
Patient Form
Order Contact Lenses
LASIK Self Evaluation
LASIK Self Evaluation
LASIK Self Evaluation
1. Do you have trouble seeing far away or up close?
Up Close
Far Away
2. How interested are you in being able to play sports without glasses and contacts?
It's very important to me NOT to wear glasses for activities such as sports.
It's not important to me. I do not mind wearing glasses.
3. Are you interested in seeing well up close (reading) without glasses?
Under 21
21 - 40
40 - 69
69+
4. Are you interested in seeing well up close (reading) without glasses?
It's very important to me NOT to wear reading glasses.
It's not important to me. I do not mind wearing reading glasses to see things up close.
5. Do you wear contact lenses or glasses?
Glasses
Contact lenses
6. Would your career or business activities improve if you were to become less dependent on glasses and contacts?
Yes
No
Maybe
7. Over 98% of LASIK patients see 20/40 or better after surgery. The results of LASIK laser vision correction have been tremendous for literally millions of people. Despite the amazing safety and results of this procedure there are associated risks. Are you willing to discuss these risks with our LASIK coordinator?
Yes
No
Thank you for your Interest. We will get back to you soon.
You are missing required fields.
Dynamic Error Description
There was an error processing this form.
Quick Links
About
Patient Center
LASIK
Cataracts
Eye Health Exams
Optical
Contact Lenses
Contact Us
Helpful Articles
products
eye surgery co-management
technology
vision therapy
eye health
services
contact lenses
surgical procedures
eyeglasses
ocular disease management
LASIK Surgery
Refraction Test
Keratoconus and Your Treatment Options
Amblyopia
Sports Vision
Optikam
Optical Coherence Tomography
Types of Daily Contact Lenses
MacuHealth
OCuSOFT
Latisse Eyedrops
Eye Disease Treatment
Limbal Relaxing Incisions
LASIK Procedure
Dry Eye Treatment
Macular Degeneration
Importance of Routine Eye Exams
Neurolens
Corneal Refractive Therapy
What to Expect During an Eye Exam
Why Should You Consider Eyelid Rejuvenation
iDesign Custom Lasik
Comprehensive Eye Exam
Understanding Computer Vision Syndrome
Considering Your Face Shape When Choosing Eye Glass Frames
How Your Eyes Change with Age
Seasonal Allergies And The Eyes
Scleral Lenses
Diabetic Related Eye Exams
Contact Lens Exam
Lipiflow
Tonometer
Ortho K
Demodex
Benefits of LASIK
Overview of Visian ICL
Cosmetic Services
Eye Emergencies
Low Vision
How Exercise Benefits the Eye
Common Eye Disorders Explained
Am I a candidate for LASIK?
Corneal Refractive Therapy
Lens Technology
Blephex
Visual Field
Glaucoma Testing
Pink Eye
Myopia Management
Speciality Contact Lenses
Glaucoma Treatment
Cataracts
Which Patients are Good Candidates for Premium IOL
Understanding PRK
Implantable Contact Lenses
Can Diet Reverse Diabetic Retinopathy
Pediatric eye exams
Best Foods for Eye Health
Eye Safety Tips
Vision Therapy
EyePromise
EnChroma Lens Technology
Maculogix
Optomap
On Call
24/7
Contact Us
Request
Appointment
We provide the highest quality eye care to all our patients. Request an appointment today!
Thank you. We will connect with you shortly.
You are missing required fields.
Dynamic Error Description
There was an error processing this form.
Complimentary
Eye Checkup
At Eye Care Clinic, we provide the highest quality eye care to all our patients. Schedule your appointment today.
form successfully submitted.
You are missing required fields.
Dynamic Error Description
There was an error processing this form.
Ask
the Doctor
Thank you. We will connect with you shortly.
You are missing required fields.
Dynamic Error Description
There was an error processing this form.
Home
About
Our Staff
Meet our Doctors
Blog
LASIK
Lasik Consultation
Lasik Self Evaluation
Cataracts
Premium Lens Implant
Premium Lens Self Test
Eye Health Examinations
What is an Eye Health Examination
Additional Testing
Common Eye Conditions
Optical
Eyewear Gallery
Hoya Lens Technology
Contact Lenses
Contact Lens Center
Contact Lens Fitting and Evaluation
Order Contact Lenses
Dry Eye Specialists
Patient Center
Patient Forms
HIPAA Policies
Billing and Insurance
Promotions
Helpful Articles
Reviews
Blog
Contact Us
×
Login
Forgot Password?
OR
Sign in with Facebook
Sign in with Google
×
Save Search
×
Saved Searches
×
Modal title
One fine body…
×
Update Profile
Email
Name
Password
Confirm Password