Center For Advanced Eye Care
1104 N. Division Street
Carson City, NV 89703
phone: 775.882.9123
fax: 775.882.6030
email: inquiry@sierralaservision.com
Center For Advanced Eye Care
The Minden Village
1673 Lucerne Street Suite B
Minden, NV 89423
phone: 775.782.5523
fax: 775.782.8523
email: inquiry@sierralaservision.com


Find Out If You Are A Candidate
Online Questionnaire

Do You Wear Glasses or Contacts
  Glasses      Contacts     Both

Type of Contacts You Wear Are
  Hard or gas permeable
  Soft daily, extended wear, or soft toric

How Long Have You Considered Laser Correction
  6 Months - 1 Year      Over 1 Year

Is Your Correction For Distance or Reading
  Distance      Reading

Provide Your Prescription Details:
Name:
Address:
Address Line 2:
City:
State:
ZIP Code:
Email Address:
Phone:


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