Patient Forms

Patient Registration

In order to register for your appointment, please click here and fill out your information.

New LASIK Patient Form

If you are a new LASIK patient, and would like to save time during your visit, please click here to fill out our online New LASIK Patient Information Form or download a PDF form.

LASIK LINE

951-737-6402

Request an Appointment

May 30th @ 12PM PSTJoin us for a FREE LASIK webinar And get $1000 off LASIK!

In this LIVE webinar hosted by Dr. Schneider, you'll get answers to all your questions about LASIK, including:

How improved your vision will be post-surgery
What recovery is like
How LASIK works
And More!

PLUS - Not only will you save $1000 just by registering this webinar, you’ll be eligible for another money-saving offer just for scheduling your free appointment!

Register Now

Sign-up below to register for the LIVE WEBINAR. On May 30th @ 12PM PST

Please enter your phone number to receive SMS text reminders for your webinar!