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Contact Address & Appointment Submission for LASIK
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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

 

Further Details:

Information on Lasik (Refractive Surgery) Pl contact

Mr A Mahalingam (Manager – Development) @ 0 93821 47796

(10 am to 5 pm) all working days except Sundays

Scheduling Lasik Appointments pl contact our Lasik Secretary @

0 93801 07258 / 044 4227 1903 (8 am to 4 pm) all working days except Sundays

Mail to: 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 Address
LASIK Department will get back to you at the Earliest.