Laser Vision Correction Screening Evaluation
CustomVue™  Lasik

 


Glasses or Contact Lens Prescription Information

Please answer the following questions about how your vision is corrected.

Correcting your Vision

Which of the following best describes how you correct your vision for regular daily activities like driving or watching TV?
 
I usually wear glasses.
 
I usually wear contact lenses.
 
I might wear either glasses or contact lenses.
 
I usually don't use glasses or contact lenses for these purposes.
 

The next section asks questions about your glasses or contact lens prescription.

 
  If you have a recent glasses prescription, click here to enter your glasses prescription information.
 
  If you do not have a recent glasses prescription, but you have a contact lens prescription or contact lens containers, click here.
 
  If you do not have a glasses prescription or contact lens information in your possession, click here to enter general information about your prescription.
 
   

 

Click Here to Cancel the Screening and Start Over

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Barry E. Roper, M.D.      D. Alan Chandler, M.D.      Malcolm Magovern, M.D.
    Harold A. Bernstein, M.D.      David M. Bowman, M.D.     
Bryan M. Brooks, M.D.
Donald W. Lumpkin, O.D.