Lasik Self Test

We look forward to determining your candidacy for laser vision correction. By completing this LASIK self-test, we will better understand if you are a candidate for LASIK or one of our other custom vision correction procedures. This LASIK self-test is not a substitute for a proper medical examination and is simply a guide to help Clarity Refractive Services answer your questions and discuss your specific needs. Thank you for your interest in Clarity Refractive Services.

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OCCUPATION:

I authorize a Clarity Refractive Services representative to contact me to discuss the results of my LASIK Self-Test. I acknowledge that the information provided in this questionnaire will be used to send additional information about offers related to our services.