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You can read the first chapter below.
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Please Fill Out the Following from COMPLETELY, as the staff of Park AVenue Laser Vision will be getting this form back, INCLUDING DR. CHYNN, and they cannot give you accurate advice about your situation unless they know this information. You will receive a Personal Recommendation from Dr. Chynn himself about which procedure is right for you given your age, occupation, and special concerns. You will receive a PDF file download link and some via email Thanks!


Please do not give us "fake" contact information, as Dr. Chynn himself or his staff will be contacting you back with advice about your particular situation, and you do want this helpful feedback! Your contact info will not be sold. You need a valid email address in order to receive the e-book link.



We need this information to tell you what your recovery period will be, and whether or not we suggest MonoVision so you won't need reading glasses, also it can let us know whether or not to overcorrect (for younger patients). We also have corporate programs available which can help you save money.






You should tell us about any particular concerns you have, or if you have a previous eye history, particularly any type of prior eye surgery, so we can address this!




RX: Your Prescription will help us tell you what your odds of seeing 20/20 (or better) afterwards are, and whether you are withing our parameters for safe treatment.

Enter your first name here
*
You Must provide a valid email, Dr. Chynn will send you the gallery link to the address given
*
Enter your ten digit phone number (include area code, no spaces or slashes)
*

So we can recommend the correct procedure for your age.
*
To tailor your procedure to your visual needs!

Your medical (not vision) insurance, so we can offer you an insurance discount!.

So we can offer you a corporate discount!


Comments/Concerns:

I have my eyeglass or contact lens
 prescription handy.
Give an approximation: (glasses/contacts, include the +/- sign, i.e., -3.50)
Give an approximation: (glasses/contacts, include the +/- sign, i.e., -3.50)


Chapter 1 - Understanding Your Eyes