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Contact Us for More Information

We are here to answer your questions and ease your concerns. Feel free to complete the form below. Thanks for your interest, and we look forward to improving your vision.

 This form just takes a moment to use.

Name: (Required)
Address:
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Daytime Phone:
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Email: (Required)
Age: Male Female
   
Are you interested in
(check all that apply):
Attending a free seminar for LASIK  
Attending a free cosmetic seminar with Adam J. Scheiner, M.D.  
Scheduling a complimentary consultation for LASIK  
Scheduling a cosmetic consultation with Adam J. Scheiner, M.D.  
Scheduling a consultation for Skincare services & products  
Having information mailed to your home address  
Applying for financing  
Other  
   

What should we know about you?

This is not a secure contact form. Please do not include sensitive medical information in your appointment request that you would not normally feel comfortable sending over email.

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VISIT US AT: 3000 W ML King Blvd Tampa, Fl 33607
PH: (813) 877-2020 | 1-800-633-3549 (Florida only) |
FAX: (813) 872-7387
CLICK HERE to EMAIL