LASIK Teleconsultation

Kindly fill out the form below to schedule a teleconsultation appointment:

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Name:

First

Last

Email Address:

Contact Number:

Date of Birth:

Branch where LASIK Operation was performed:

Date of LASIK Operation:

Preferred Platform for Teleconsultation:

Purpose of Teleconsultation:

Preferred Schedule date

Preferred Schedule time (Select 1)

LASIK Preferred Operation

Reminders:

Please wait for a message from the respective branch regarding your confirmed appointment.
Kindly use a device that allows proper use of the microphone and camera to ensure a smooth consultation experience.
Please note that the consultation will last approximately 15 minutes.
To make the most of your session, please prepare a list of your concerns and questions

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