Contact Us

• Request your FREE Educational CD
• Attend a FREE seminar
• Schedule a FREE, consultation
• Call us at 800-283-8393

An evaluation will provide the opportunity, in just a few minutes, to let you know if you are a potential candidate for the procedure of your choice. It's FREE, it's INFORMATIVE, and you'll be amazed at what laser vision correction can do for YOU!

As with any procedure, we understand your decision involves many considerations. At Boling Vision Center we take pride in addressing your questions on a one-to-one basis. This gives us the opportunity to provide accurate information for your decision making process.

Please, feel free to call us at 800-283-8393 if we can assist you in any way.

Scheduling a FREE, personal consultation

We are pleased to offer you a FREE, personal one-on-one evaluation of your eyecare needs. Whether you are interested in laser surgery or any of our eyecare services, one of our eyecare specialists will contact you to setup an appointment or answer any questions that you might have.

All your answers will be kept STRICTLY CONFIDENTIAL. Note: fields marked "" are required to send this form.

Full Name:
Email:
Phone:
Address:
City, ST, ZIP:
Age:
I wear my glasses/contacts: All of the time. Only to drive/watch TV. Only to Read.
Contact lens prescription:
Glasses prescription:
I would like to decrease my dependence on glasses because: They cause me discomfort They interfere with sports They interfere with my performance on the job I don't like the way I look in glasses
I don't like wearing contacts because: My eyes are dry and I cannot wear contacts comfortably all day My contacts film over frequently I am tired of the maintenance of my contacts I have trouble inserting and removing my contacts I'm tired of the expense of contacts I'm tired of taking the time required to care for my contacts
I would consider my refractive surgery successful if: Only if I never had to wear glasses again I could enjoy sports, drive, watch television without my glasses Only if I had perfect 20/20 vision My glasses could be much thinner and lighter
Please Contact me: To schedule a free LASIK consultation To send an informational video and brochure To answer further questions*