423-648-3937 Home Meet The Physicians About Contact News/Blog Patient Services Treatments Eye Conditions Laser Center Am I A Candidate For LASIK? It Only Takes A Few Minutes To Find Out. LASIK vision correction can be a life-changing experience. But not everyone is a candidate for LASIK. DiStefano Eye Center can help you determine if LASIK is right for you. One way is to call (423) 648-3937 and schedule a Free Consultation. Or, if you have a minute, simply complete the form below, and our staff will respond promptly to let you know if your eye health appears to be suitable for LASIK vision correction. Once you’ve decided that you are interested in finding out more about Custom LASIK, a Free Consultation is the next step toward newfound freedom! Your Age (All Fields Required) Do You Suffer From: NearsightednessFarsightednessAstigmatism Do You Know Your Prescription? 0 to +50 to -5-5 to -10-10 or higherI don't know Has Your Prescription Been Stable For The Last Year? YesNoI don't know Do You Have Trouble Seeing Distance Or Near Without Corrective Lenses? YesNoBoth What Type of Eyewear Do You Use Now? Eyeglasses OnlySoft Contact Lenses OnlyBoth Eyeglasses and Soft Contact LensesSoft Toric Contact LensesGas Permeable Rigid Contact LensesNone of the Above Do You Wear Reading Glasses Or Bifocals? Yes, Reading GlassesYes, BifocalsNo How Would You Rate Your Quality of Night Vision? Good Night VisionFair Night VisionPoor Night Vision Do You Have Any Of The Following Conditions? Rheumatoid ArthritisKeratoconusCataractsCurrently PregnantNone of the Above Have You Ever Had An Eye Injury Or Surgery? YesNo Has Anything Kept You From Having LASIK In The Past? How Did You Hear About Us? FacebookRadioFriendWebsiteGoogle SearchOther (Please specify below)Referring Doctor (Please specify name) The answers to these questions will give us a general guideline for your candidacy for LASIK, the results of which we will provide. However, this short questionnaire is NOT a substitute for a proper medical examination and is simply a guide to help you determine if LASIK should be on your 'to do' list. The only way to know if LASIK surgery is right for your eyes is to have a thorough LASIK Examination. First Name Last Name Email Where Results Will Be Sent Phone If you are a candidate would you like us to contact you to schedule your free consultation? YesNo DiStefano Eye Center has my permission to contact me and I can rescind this permission at any time.Permission To Contact LASIK surgery changed my life. I'm more productive and more active than ever. I wish I'd done it sooner. Dr. Distefano and her staff were amazing! Roger L. Advertising Professional Appointments Schedule an appointment at either of our offices. Click Here About Us The ophthalmology experts at DiStefano Eye Center serve patients throughout the Southeast Tennessee/North Georgia area. Whether you need a simple eye exam or are considering LASIK vision correction to replace the need for eyeglasses, the DiStefano Eye Center is ready to help. © 2016 Property of DiStefano Eye Center Contact Us DiStefano Eye Center Chattanooga: 1815 Gunbarrel Rd. Chattanooga, TN 37421 423-648-3937 Cleveland 2415 Chambliss Ave. Cleveland, TN 37311 423-648-3937 South Pittsburg: 72 South Pittsburg, TN 37380 423-648-3937 Social Feed Search