We are pleased to be seeing new and established patients for all services. Click here to read safety protocols we have implemented in response to COVID-19.

1
2
3
4
5
6
7
8
9
Year of Clear

Please answer these 9 short questions to learn if you are a good candidate for vision correction surgery.

Please select your age group *

What type of correction do you wear primarily? *

Without my glasses or contacts I... *

Select the most accurate statement. Even with my glasses or contacts my vision is... *

Do you have any of the following? (Select all that apply) *

Before we continue, we'd like to gather some information so we can better serve you.

This will only be used by the Providence Eye team to assist you with your journey. We will keep your information private and will never share it with a third party.

May we please have your phone number? (we do not share this info)

May we please have your email? (we do not share this info)

Please feel free to provide us any additional information:

* Please complete all required fields * Invalid email * Invalid phone
loading icon

Thank you!

We're sorry there was a problem, please try again.

Thank you!

Based on your age, we do not recommend LASIK at this time. LASIK is FDA approved for patients over age 18 who have had a stable vision prescription for at least 12 months. Please check back with us in the future. If you have questions please feel free to call us at (704) 540-9595.

Thank you!

You have indicated that you have cataracts.

Although very frustrating it is common and the great news is that cataract surgery can restore your clear vision. We are looking forward to getting to know you better, educating you about cataract surgery and discussing if and when it would be appropriate to move forward with a cataract evaluation. A member of our team will reach out to you in 1 business day. We will be calling you from (704) 540-9595, please add this number to your contacts.

We look forward to getting to know you!

Great News!

Based on this information you appear to be an excellent LASIK candidate!

The next step is to schedule a free LASIK consultation with our LASIK surgeon Dr. Mozayeni here at Providence Eye & Laser Specialists. A member of our team will reach out to you in 1 business day to explain the process and answer your questions. We will be calling you from (704) 540-9595, please add this number to your contacts.

We look forward to getting to know you!

Thank you!

You have indicated that even when you wear your glasses and contacts you have issues with your vision.

Because of this we are not able to determine if any vision correction procedure would be appropriate. However, after a brief conversation with one of our vision correction consultants we will be able to provide you better direction. A member of our team will reach out to you in 1 business day. We will be calling you from (704) 540-9595, please add this number to your contacts.

We look forward to getting to know you!

Thank you!

For your situation with this limited information we are not able to determine if you are an ideal candidate for LASIK.

However, after a brief conversation with one of our vision correction consultants we will be able to provide you better direction. A member of our team will reach out to you in 1 business day. We will be calling you from (704) 540-9595, please add this number to your contacts.

We look forward to getting to know you!

Thank you!

You have indicated that you have cataracts.

Although very frustrating it is common and the great news is that cataract surgery can restore your clear vision. We are looking forward to getting to know you better, educating you about cataract surgery and discussing if and when it would be appropriate to move forward with a cataract evaluation. A member of our team will reach out to you in 1 business day. We will be calling you from (704) 540-9595, please add this number to your contacts.

We look forward to getting to know you!

Great News!

Based on this information you appear to be a good candidate for LASIK.

For your situation, having the need to correct both distance and near vision, you will have multiple options and some decisions to make. After a brief phone conversation with one of our vision correction consultants we will be able to educate you and help you start your journey to find the best vision solution for you. A member of our team will reach out to you in 1 business day. We will be calling you from (704) 540-9595, please add this number to your contacts.

We look forward to getting to know you!

Thank you!

You have indicated that even when you wear your glasses or contacts you have issues with your vision.

Because of this we are not able to determine if any vision correction procedure would be appropriate. However, after a brief conversation with one of our vision correction consultants we will be able to provide you better direction. A member of our team will reach out to you in 1 business day. We will be calling you from (704) 540-9595, please add this number to your contacts.

We look forward to getting to know you!

Thank you!

For your situation with this limited information we are not able to determine if you are an ideal candidate for LASIK.

However, after a brief conversation with one of our vision correction consultants we will be able to provide you better direction. A member of our team will reach out to you in 1 business day. We will be calling you from (704) 540-9595, please add this number to your contacts.

We look forward to getting to know you!

Thank you!

You have indicated that you have cataracts.

Although very frustrating it is common and the great news is that cataract surgery can restore your clear vision. We are looking forward to getting to know you better, educating you about cataract surgery and discuss if and when it would be appropriate to move forward with a cataract evaluation. A member of our team will reach out to you in 1 business day. We will be calling you from (704) 540-9595, please add this number to your contacts.

We look forward to getting to know you!

Thank you!

You have indicated that even when you wear your glasses and contacts you have issues with your vision.

This is a leading indicator for us that there is a possibility of cataracts. Although very frustrating it is common and the great news cataract surgery can restore your clear vision. After a brief conversation with one of our vision correction consultants we will be able to provide you better direction. A member of our team will reach out to you in 1 business day. We will be calling you from (704) 540-9595, please add this number to your contacts.

We look forward to getting to know you!

Thank you!

Based on your answers, we feel LASIK vision correction may not be your best long-term vision solution.

However, there are other vision correction surgeries that we can review with you. After a brief phone conversation with one of our vision correction consultants we will be able to educate you and help you start your journey to find the best vision solution for you. A member of our team will reach out to you in 1 business day. We will be calling you from (704) 540-9595, please add this number to your contacts.

We look forward to getting to know you!

Thank you!

For your situation with this limited information we are not able to determine if you are an ideal candidate for LASIK.

However, after a brief conversation with one of our vision correction consultants we will be able to provide you better direction. A member of our team will reach out to you in 1 business day. We will be calling you from (704) 540-9595, please add this number to your contacts.

We look forward to getting to know you!

Ready to get started?

Schedule a Free LASIK consultation with Dr. Mozayeni