Book your free initial laser assessment now

Valued at $450.

Are you an international patient?
Yes
Title*
Mr
Mrs
Ms
Miss
Dr
Preferred eye doctor*
Preferred clinic location
North Shore Clinic
Remuera Clinic
Manukau Clinic
Reason for appointment
I wear glasses
I wear contact lenses
I use both glasses & contacts
Other
How did you hear about us?*
Additional Comments / Recommended By
I am happy to receive future email correspondence from Eye Institute.
Yes
Note: None of this information will be passed on to any other party. *Denotes mandatory ﬁelds.