Book An Appointment

When you are ready to take the next step to ‘freedom from glasses and contacts’, please call one of our Patient Care staff at 1-866-682-4900 or 1-604-682-4900 (within the Lower Mainland of British Columbia) or just complete this form and we’ll contact you. It’s that simple.

If you want to have more information sent to you or still have some questions, please click here. We want to ensure that you have all your concerns and questions answered before you proceed with the surgery.

Type of Appointment Requested:

Name:
City:
Province/State:
Phone (daytime):
Phone (alternate):
Email:

What is your preferred date(s) for your appointment(s)?

Did a previous patient of LASIK Eye Centres refer you to our clinic for laser eye surgery? YesNo
If Yes, please provide:

Name:
City:

1.	Will you be seeing an Eye Doctor in your own town for follow-up appointments? YesNo
	If Yes, please provide: Doctor's Name: Doctor's Phone:
	Click here for information on out-of-town eye doctors
2.	Do you require hotel accommodations while in Vancouver? LASIK Eye Centres has special discounted rates available at selected downtown hotels (all within a short distance from the Clinic)  YesNo

Thank you for choosing LASIK Eye Centres for your laser eye surgery.  One of our Patient Care staff will be contacting you within 48 hours (Monday morning if this email is sent over the weekend).