ArtLife Ophtalmologic Centre Gdansk - Preliminary Qualification Form for laser vision correction

Preliminary Qualification Form

For the sake of patient’s convenience we have constructed the following Form. By filling it out You allow us to determine whether laser vision correction is an appropriate procedure for You.
However, the Preliminary Qualification Form does not replace the qualifying examination, which has to be performed before every surgery. Various test performed during the examination are essential to determine the most adequate method of laser vision correction and help to identify any contraindications.

Fields marked with * are required.