I’m I A LASIK Candidate? Please complete the form below and a representative of NY LASIK will contact you as soon as possible. You can also call our LASIK Hotline at 347-470-1988 to get your questions answered or to schedule a free LASIK consultation! Name* First Last Phone*Email* Age Group*18-2526-3940-4950-5960+Do You Currently Wear for Vision Correction?*GlassesContactsGlasses & ContactsReading GlassesBifocals or TrifocalsHave You Had Any Previous Eye Diseases or Eye Surgeries?*YesNoHow Did You Hear About Us?*Internet/GooglePatient ReferralDoctor ReferralYelpOtherCAPTCHANameThis field is for validation purposes and should be left unchanged.