North Charleston Laser Eye Surgery

Info Request

   
LASIK Information Request Form:
Name:
Phone:
Email:
 

1. How long have you been thinking about Refractive Surgery?

Less than 1 year
More than 1 year
Just heard about the procedure
 

2. If you choose to have Refractive Surgery, how soon would you like to have it done?

Within the next month
Within the next year
Need more information before making any scheduling decisions
 

3. Are you more likely to pay for your Refractive surgery with?

Cashiers Check/ Certified Check
VISA, Mastercard, American Express, Ect.
Payment Plan offered by Eye Center
 

4. If offered a convienant payment plan, would you be interested in Refractive Surgery?

Yes
No
 

5. Which day of the week is best for you to further discuss the LASIK procedure?

Monday
Tuesday
Wednesday
Thursday
Friday
 

6. When, during the day, would you like to speak with Seltzer Laser Center about the LASIK procedure?

Morning
Afternoon
Evening
 

7. Why do you want LASIK surgery?
 

8. Who is your current eye doctor?
 
 

LASIK - Laser Eye Surgery Charleston

 Because we aim to please our patients, LASIK at Seltzer Laser Center is affordable. We offer advanced technology and one of the most experienced LASIK surgeons in Charleston or South Carolina.

LASIK - Financing

 If you are concerned about the cost of LASIK in Charleston, we offer flexible financing options. We offer FREE LASIK consultations where you can learn about your options for laser eye surgery without any obligations.

ASK A QUESTION

Better Than LASIK?
Visian ICL- Implantable Contact Lens

 Seltzer Laser Center is proud to introduce The Visian ICL to Charleston South Carolina. If you have been told that you are not candidate for LASIK in Charleston we may have a solution that is better for you. This new implantable contact lens corrects up to -20 diopters of myopia. This is the procedure that highly nearsighted patients have been waiting for and is now available at Seltzer Laser Center.