Use the form below to request a complementary laser vision correction evaluation with Dr. Shaw. The evaluation involves a number of specialized tests which will take approximately one hour.  Information learned from these tests will be used to make sure you are a good candidate.  The information you submit will be kept private and not shared or sold to other health care providers or businesses.

Lynchburg:  Complimentary laser vision correction evaluations at our Lynchburg office are available Monday thru Thursday at 11:15  AM or 3:30 PM.  You will be contacted by telephone and/or email to confirm your requested appointment.

Name: E-mail: Address: Daytime phone: (Optional) How long have you worn glasses? Appointment time(s): Enter selected appointment times here (See above for available slots)