LASIK, is it right for me? | Perth Laser Vision

*Please note: Our forms are currently not working, please call us on (08) 9218 7666 to discuss your LASIK requirements.*

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How old are you?*

Do you have trouble seeing?*

Has your prescription changed significantly in the last 2 years?

Do you usually wear glasses or contact lenses?*

Have you been diagnosed with any of these eye conditions?

Which Other Eye Condition?

Have you previously had eye surgery?

Please advise, which surgery you have had

Do you suffer from any of the following medical conditions?

Have you been told that you are NOT a good candidate for LASIK surgery?

(We can tell you about other options.)

What is your biggest concern about having LASIK surgery?

How soon would you like to improve your vision?

Would you like more information or to book a consultation?*

How did you hear about Perth Laser Vision?*

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