Schedule an Appointment

Please fill out our Pre-Operative Questionnaire. Remember, vision correction procedures are open to individuals at least 18 years of age or older, so be sure you (or the person you have in mind) are eligible.

Note: Please make sure the form is completely filled out.

If you prefer, you may call us directly at 212-486-2020 so we can answer your questions over the phone. When you call the office, please give the receptionist a brief description of your problem so that it can be handled appropriately. If you need to speak with the highly accomplished, leading NYC LASIK surgeon, Dr. Belmont, she will return your call at her earliest convenience.

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Medical History

With glasses or contacts, how much nighttime glare or halos do you have?
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