Cataract Surgery Prescreening

Your inquiry is very important to us. Please provide the information below and someone will be in contact you soon.
 

* 1. Name

* 2. Telephone Number (please include area code):

* 3. Email Address:

* 4. Have you been diagnosed with cataracts in both eyes?

* 5. Do you have health insurance?

* 6. Are you covered under Medicaid?

* 7. Are you a resident of South Carolina?

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