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APPOINTMENT FOR FREE CONSULTATION*

APPOINTMENT FOR FREE CONSULTATION*

Please fill out the following form to book your free LASIK consultation. This form is only for Canadian residents.

If you have had LASIK surgery or are looking to book an appointment for another reason, please contact us at 514-738-6666 and we will be happy to assist you.

step 1 Patient Information
step 2 Appointment Information
icon calendar Appointment Confirmation
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Personal Information


Mr. Ms. Mx

Contact Information


Medical Information


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Gas Permeable (RGP) Hard Soft Toric Soft/Disposable

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Laservue takes your privacy seriously. All personal information provided will remain confidential. Read our privacy policy.