LASIK Special

Win $1000 off Your LASIK Procedure

Thank you for visiting our website and showing interest in having LASIK with Eye Doctors of Washington.
Please fill out the form below to schedule your LASIK consultation.

We hold your privacy in the highest regard and this information will not be shared with outside parties.

1. First Name(required)
2. Last Name
3. Email(valid email required)
4. Phone
5. How did you hear about our practice? Choose one... DocShop.com Internet Staff Member Yellow Pages Family Member Friend Web Search Optometrist Other (required)
6. Comments
7. Please type in the verification code
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Thank you for filling out this form and we will be contacting you shortly.

Sincerely,
Dr. Thomas Clinch and Dr. Paul Kang

*The winners of the contest will be notified by phone or email.