A LIFETIME OF GREAT VISION
Don't let glasses or contacts get in the way of your active lifestyle..Learn more
HOUSTON'S TOP LASIK SURGEONS
Dr. Charlie Moore & Dr. Ricardo Sepulveda - Changing the way you see the world.
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In order to save you time during your office visit, we have made the following forms available for you to complete online.
Please click on the document link and fill out the forms on your computer. Once completed, please print out the forms and bring them with you on your appointment day. Or, you can save the documents on your computer, attach them to an email and send them to us at info@texaslasik.com.
To complete the forms, please just click on the first gray text box and fill in the information. Click the “Tab” key to move to the next section of the form. Please do not press the return or enter key.
If you have any questions, please call us Toll Free: 877-984-9777 or email us and we will be happy to help.
Patient
Information Form
(103Kb) Patient Information Form - Microsoft Word Format
Patient
Questionnaire Form