Binetter Eye Centre

Am I Suitable for Eye Surgery?

Most of our patients are suitable as long as their prescription is stable.

If you wish to provide personal details, these will be reviewed by Dr Ron Binetter and a reply provided, usually within 24 hours.

Do you wear glasses or contact lenses?

*

What is your prescription for? *

Do you roughly know what your prescription is?

Left:
Right:

Please enter your age *

Has your prescription changed in the last 2 years? *

If you are suitable, how soon would you like to proceed with surgery? *

What are your main reasons for having Laser Vision Correction? *



Is there any additional information you think would be relevant (e.g. trauma, surgery, family history of eye conditions):

Your Name *

Your Email *

Your Phone *

How did you hear about us? *