Wang Vision Institute - Patient Information Form

Online Only Offer
35% Off 5th Wave Procedures
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Complimentary Consultation
Once you fill out this short form, you will be directed to self-schedule your free eye evaluation. Please follow the prompt at the end of the form.
Qualifications
You must be 18-years-old or older.
Please choose the procedure you are most interested in.
Pricing for the KAMRA Inlay begins at $3,900 with the 35% discount applied (normally $6,000). Online only deal also includes 35% off Forever Young.
This offer is for elective procedures only, and not covered by insurance.
You are not eligible for this procedure if you have had bilateral cataract surgery.
Serious medical related eye conditions such as keratoconus can make you ineligible for these procedures.