Free Consultation

Thank you for your interest in a free consultation with Dr. Levinson.

At this initial meeting you will meet with Dr. Levinson and his staff. We will take measurements of your eyes to determine if you are a candidate for Laser Vision Correction. We will discuss the benefits and risks of Laser Vision Correction. We will listen to your vision goals and will advise you about which Laser Vision Correction Procedure and technologies are best-suited for you.

Please fill out the form below to schedule your free Laser Vision Correction consultation.

Name (required)

Email (required)

Phone (required)

Address

City

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Do you have any questions?

List three times when you will be available for the consultation appointment. We will contact you to confirm your consultation.

Do you know if you are a candidate for the procedure?
 Yes No

Do you wear glasses, contacts, or both?
 Contacts Glasses Both

For distance or near?
 Distance Near Both

Part time or full time?
 Part time Full time

Do you know your prescription?

What's been holding you back?

How long have you been looking into LVC?

When do you want to have Laser Vision Correction?

How did you hear about Dr. Levinson's website?
 City Search Flyer Doc Shop Patient/Friend Postcard Search engine Seminar Health Fair Event Other