Intake form wavefront-guided lenses
Dear madam, sir — you have taken the first step towards your wavefront-guided lens examination! Please provide as much of your eye data as possible, as this will help me prepare for your visit. After submitting the form, you can immediately schedule a introductory appointment via Google Meet.
Questions? Call +31 511 472 486 or view the contact details at jgk.nl.
1
Complete the intake and advisory form below.
2
At the bottom, choose whether or not you would like a Google Meet video appointment.
3
If you choose Meet, you will be directed immediately to select a date and time.