Free Consultation for Laser Vision Correction- Eye Associates of Virginia

:: Free LASIK Consultation

:: Our LASIK Surgeons	:: Am I A LASIK Candidate?
:: LASIK Laser Eye Surgery	:: LASIK Fees and Payment Options
:: Custom Wavefront LASIK	:: Free LASIK Consultation
:: Practice Services	Contact Us \| Site Map \| Home

Geoffrey Cooper, M.D.
Eye Associates of Virginia

5875 Bremo Road, Suite 209
Saint Mary's South Medical Office Building
Richmond, Virginia 23226

804-288-8884

We can help you determine if LASIK Laser Eye Surgery
is right for you. It is our pleasure to provide you with a
Free* Consultation.
Schedule your Free Consultation Today!

Eye Associates of Virginia
is dedicated to providing you with individualized and personalized LASIK education and care at every step of the process in order to make certain that you receive the best care and achieve your personal goals.

Eye Associates of Virginia has arranged to provide you with a
FREE Consultation Today!

Please complete the following form (ALL Fields are required items*)

First Name:*

Last Name:*

Address:*

City:*

State:*

Zip:*

Phone:*

E-mail:*

Please Answer The Following Questions

I wear

Glasses Contact Lenses
Bi focals / Reading glasses

I wear my glasses and/or contact lenses to see

Distance Near Both Distance and Near

I am interested in having Laser Vision Correction within

the next month 6 months

3 months 12 months

Please Indicate Your Acceptance.

Please contact me to schedule a

Complimentary Consultation
A Treatment Date

Please contact me regarding

Corporate Benefit Programs
An affordable payment plan

Please include me in further informational mailings

Please select the best time to be reached by our Refractive Surgery Coordinator:

Tell a Friend | What is LASIK?
*(see important note)