Free Lasik Drawing

If you would like to call us our phone number is 303.393.0347. We are happy to answer any of your questions or you can schedule a complimentary (free) consultation to see if you are a candidate for Laser Vision Correction.

If you are interested in registering for the drawing for a free Laser Vision Correction procedure* by Dr. Levinson, please fill out the following form. Items with a star (*) must be completed in order to be eligible for the drawing.

    Name (required)

    Email (required)

    Phone (required)





    Do you have any questions?

    Do you know if you are a candidate for the procedure?

    Do you wear glasses, contacts, or both?

    For distance or near?

    Part time or full time?
    Part timeFull time

    Do you know your prescription?

    What's been holding you back?

    May we contact you regarding a complimentary consultation?

    When do you want to have LVC?

    How did you hear about Dr. Levinson's website?
    City SearchFlyerDoc ShopPatient/FriendPostcardSearch engineSeminarHealth FairEventOther