Name: Patient's Date of Birth: E-mail: Phone: How did you find us? We are open Monday-Friday 8am - 4:30pm.
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If you have been waiting for the right time to have Lasik, your wait is over!

We are making it easy for you to schedule your complimentary evaluation right now. Please fill out the form below and let us know which day and time is best for you to come in for the first step – your complimentary evaluation. You will receive an email confirmation of your appointment. If you have any questions, please contact us at 713-984-9777 or fill out your information and submit your question in the box below.

We are open Monday-Friday 8am - 4:30pm.
Please choose the best day and time for your free evaluation.

Please fill out the information below, and one of our laser vision coordinators will be happy
to answer any questions and provide you with any information you may need. Thank you for
your interest in International EyeCare Laser Center!

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Phone: Best time to reach you: Patient's Date of Birth: Zip:

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