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ThisonePlease complete the form below and a member of our LASIK scheduling staff will contact you shortly.

This short questionnaire is not to be considered a substitute for a proper eye examination and is offered simply as a guide to help you decide if LASIK should be on your “to do” list. The only way to know if LASIK is right for your eyes is to have a thorough LASIK Evaluation.

Urgent or private medical information should NOT be sent by e-mail or via our web page. E-mail and web page inquiries are usually reviewed within 1-2 business days. Please read disclaimer below form.

MEDICAL AND PRIVACY WARNING – DISCLAIMER:

Medical Emergencies must call the office 413-584-6422 for the doctor on call. If you are unable to establish a dialog with our office in these cases, please urgently seek the nearest ophthalmologist or emergency room. Urgent or private medical information should NOT be sent by e-mail or via our web page. E-mail and web page inquiries are usually reviewed within 1-2 business days. Information transmitted by e-mail or via our website may be viewed by others, and Eye Physicians of Northampton cannot guarantee the privacy of any information transmitted in this way. Our office will endeavor to promptly respond to your inquiry, but should you have an eye emergency, such as sudden loss of vision, sudden onset of severe eye pain, or sudden onset of severe eye redness, you will need urgent attention.