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Vision Self Evaluation

Dougherty Laser Vision offers a wide range of vision correction and refractive surgery procedures. With four locations to choose from, our specially trained staff will advise you on which procedure will best suit your vision needs. To learn more about what you’re a candidate for, please complete the self evaluation below. One of our vision coordinators will be in contact once complete. Please fill out as many answers as possible.

    Your Age Group

    Do You Suffer From

    Do You Usually Wear

    Do You Currently Wear Reading Glasses?

    Have You Ever Had An Eye Injury or Surgery?

    Have You Been Diagnosed With


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