Self-Evaluation for LASIK — Demo Form

At LaserVue Eye Center, we offer a full range of vision correction options at our offices in San Francisco, San Jose, and Santa Rosa. Together, we choose the optimum procedure or solution to fit your individual needs. To find out if you might be a good candidate for LASIK or another procedure, complete the form below and our vision correction coordinator will contact you to discuss the next steps.

For best results, please complete this brief questionnaire.

While not a substitute for a proper medical examination, this guide may help you decide if LASIK could be an option for you. The only way to know if LASIK is right for your eyes is to have a thorough LASIK evaluation.

San Francisco

LaserVue LASIK and Laser Eye Surgery Center San Francisco
711 Van Ness Ave Suite 320,
San Francisco, CA 94102
Location & Map 1-800-527-3745 1-415-346-5500

Santa Rosa

Santa Rosa Business Location
3540 Mendocino Ave. #200,
Santa Rosa, CA 95403
Location & Map 1-800-527-3745 1-707-522-6200

Mountain View

Laservue LASIK Center in Mountain View
1174 Castro St., #112,
Mountain View, CA 94040
Location & Map 1-800-527-3745 1-650-966-0900

You can also Call 1-800-527-3745 to speak with our staff