Intake form wavefront guided lenses

Dear Madam, Sir

The first step towards your wavefront-guided lens examination has been taken! Could you please provide as much of your eye data as possible, it will help me prepare for your visit. After you have completed and submitted the intake wavefront form, you can immediately schedule a time for an introductory appointment via Google Meet, if you appreciate it.

Of course you can always contact +31511472486, or visit my site www.jgk.nl for more contact details.jgk

So in brief:

  1. Fill in the information sheet below.
  2. When sending, do or do not choose a Google Meet video appointment Attention
  3. If you choose the Meet appointment, you will be immediately redirected to choose an available one day and time.

Intake form wavefront guided lenses:









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