Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
You will be seen for a Free LASIK Evaluation to find out if you are a candidate for any form of refractive surgery. This is not a comprehensive exam and only includes vision with and without correction, glasses measurement, auto refraction (preliminary measurement of the refractive error of the eye), and undilated anterior segment exam. This examination only intends to find if you fall within the general guidelines of refractive surgery and answer any questions you might have about it. You might still not be a candidate for refractive surgery if additional conditions are found during more extensive ocular examination. This type of exam does not entail the prescription of glasses, contact lenses or any type of medications. It does not completely rule out other ocular conditions that might cause vision loss. Everybody should have an annual eye exam. You could have it done at our office or with your regular ophthalmologist. I agree with the Terms and Conditions of the Free LASIK Evaluation as stated above: Patient: __________________________________ Date: ___________________