Flaum Eye Institute / LASIK & Advanced Vision Correction / Schedule a Consultation

Schedule a Consultation

You can use this form to request a pre-operative evaluation appointment with physicians at the Flaum Eye Institute Refractive Surgery Center only.

For questions about your consultation, please contact us at (585) 273-2020. Use this form to request a non-urgent consultation only. All requests will be processed within 24 hours during regular business hours, Monday - Friday, 8:00 am-4:30 pm.

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Name

First Name

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Last Name

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Street

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City

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State

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Zip Code

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Home Phone

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Work Phone

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Email Address

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Contact me between 8:00 a.m. and 4:30 p.m. via:

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Have you worn contact lenses during the last 5 days?

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If yes, what kind?

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Day of week

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Time of day

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Please indicate your second choice for day and time.

Day of week

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Time of day

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Promo Code

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