The form to the right is for prospective LASIK patients; for all other patient questions,please call 713-365-9099.
To preregister for your office visit, click below.
How did you hear about us? (check all that apply) Referral from Doctor of Optometry Friend/Family Member Houston Links Magazine Ad KILT-AM (610 AM) Radio Ad KTRH-AM (740 AM) Radio Ad TexasLasik.net website Doctorwhitsett.com website Google search Other: Name : E-Mail (required) : Address : Apt.# : City : State : Zip Code : Phone : Contact me to schedule a FREE LASIK consultation Yes No Age : What is your refractive error? (Check appropriate boxes) Nearsighted (Myopia) Farsighted (Hyperopia) Astigmatism Your Vision Concern / Question : Comments :