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Submit the Form.
If you would like to print a PDF copy for your records, please select the “PRINT” button (below) BEFORE submitting the form.
"Thank you, Empire Eye Physicians. I thought I could see colors, but as I got older I didn’t knowI was painting brighter and brighter. After cataractsurgery, it’s like a whole new world! Like being blind and now you can see."
"I started wearing glasses when I was 6 years old. Thank you so much for your care as I went through such a life changing event—iLASIK! I appreciate the individualized care and all that you do to improve peoples’ lives!"