Free Consultation  
We can help you determine if LASIK Laser Vision Correction is right for you. It is our pleasure to provide you with a
Free* Consultation.

Schedule your Free Consultation Today!

Baltimore Washington Eye Center is dedicated to providing you with the highest quality refractive surgery care. In order to be certain that you get the best possible results, hie approach is to provide you with individualized and personalized education and care at every step of your experience.

Baltimore Washington Eye Center has arranged to provide you with a FREE Consultation Today!

 

 Please complete the following form (ALL Fields are required items*)

First Name:*

 Last Name:*

 Address:*

  City:*

 State:*
 Zip:*

Day Phone:*
 Evening Phone:*

 E-mail:*

Please Answer The Following Questions

I wear

Glasses Contact Lenses
Bi focals / Reading glasses
I wear my glasses and/or contact lenses to see
Distance Near Both Distance and Near
I am interested in having Laser Vision Correction within
the next months 6 months
3 months 12 months

Please Indicate Your Acceptance.
Please contact me to schedule a
Complimentary Consultation
A Treatment Date
Please contact me regarding
Corporate Benefit Programs
An affordable payment plan
Please include me in further
informational mailings
 Please select the best time to be reached by our Refractive Surgery Coordinator:
 Tell a Friend | What is Lasik?

*(see important note)