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Contact Address for Lasik (Refractive Surgery)

Refractive Surgery Centre

Sankara Nethralaya (JKCN Complex)

No 21, Pycrofts Garden Road, (opposite to Chennai Regional Passport office, off Haddows Road)

Chennai– 600 006

For more information on LASIK and to schedule an appointment, please contact

Mr. Senthil Kumaran - +91 93801 64317, Toll free no - 1800 425 8494
or mail us at: lasik@snmail.org

Appointment Requisition for LASIK
Full Name  
Status   Old Patient
New Patient
If you are Old Patient (MRD NO)  
If not Please Furnish Date of Birth   (mm/dd/yyyy)  
Gender     Male    Female
Are you above 18      Yes     No
What type of corrective lens do you use      Spectacles    Contact Lens
If Contact Lens used Last used Contact Lens  
Duration of documented refractive stability   Year(s)  
Did you have any eye infection or injury with in the past year ?   Yes No
Have you been diagnosed with an autoimmune disorder, such as rheumatoid arthirits / Sjogren's Syndrome or Lupus ?  
Have you undergone any eye surgery earlier?   Yes No
Address  
Pin / Zip Code  
City  
State  
Country  
Contact Phone no  
e-mail id  
LASIK Department will get back to you at the Earliest.
       
 
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Updated on : 16/01/2012
  
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