Free Consultation for LASIK Laser Eye Surgery, Teaneck New Jersey

LASIK Laser Vision Correction, Lasik laser eye surgery

:: Free LASIK Laser Eye Surgery Consultation

:: LASIK Laser Eye Surgery	:: Our LASIK Surgeons
:: Custom LASIK	:: LASIK Fees and Payment Options
:: Am I A LASIK Candidate?	:: Free LASIK Consultation
:: LADARVision® Technology	:: Why Choose Us?

201-883-0505

300 Frank W. Burr Blvd.
Glenpointe Centre East
Teaneck, New Jersey 07666

566 Eagle Rock Avenue
Roseland, New Jersey 07068

Joe Chaneyfield Plaza
Doctors Office Center, Suite 6100
Newark, New Jersey 07101

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

Peter Hersh, M.D., 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.

Peter Hersh, M.D., has arranged to provide you with a
FREE LASIK Laser Eye Surgery 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:

*(see important note)