Eye Surgery Services Lexington Kentucky

Patient Forms

These registration forms are given to you at our office.  We provide them online as well, for your convenience…


Step 1 of 6

Patient Name(Required)
Preferred Communication Preference:
Do you have a living will?
What encouraged you to come see us today?(Required)
Employer Address
Emergency Contact(Required)
If you are interested in more information about any of the following, please check the box below:

Free LASIK Consultations

Your LASIK consultation is completely free. Your complimentary visit will give you a chance to get to know our doctors and find out more about eye care options.