Schedule an Appointment

If you would like to schedule an introductory consultation or inquire further about our servers, please fill the form below. If you would prefer to reach us by telephone, call (604) 430-9586; outside the Lower Mainland, call toll-free at 1-877-355-3937. Fields marked with an asterisk are required.

Name: *

Email Address: *

An email address where we can reach you.

Daytime Telephone Number:

I'd like to: *

Preferred Day of Week:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Please tell us which day(s) of the week are most convenient for your
appointment, Wednesday is our preferred day for initial consultations.

Preferred Time of Day:
Morning
Mid-day
Afternoon

How did you hear about BoydVision?:

Why are you considering LASIK?:

How long have you been considering LASIK?:

What are the most important factors in making your decision about LASIK?:

Do you know your prescription?:
Yes
No

Left Eye:

Right Eye:

Has your prescription changed since last year?:
Yes
No
Don't Know

Do you wear monovision contacts?:
Yes
No

How often do you wear contacts?:
Full-time
Part-Time
Rarely
Never

How often do you wear your glasses?:
Full-time
Part-Time
Never

When did you last wear your contacts?:

If you currently wear contact lenses, your contacts must be out for one week prior to the initial consultation.

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