To help us understand that this treatment is the right option for you, please answer the following questions. If you get stuck or need any help, you can contact us.

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I'm not a contact lens wearer
Soft contact lenses are what I wear
Hard contact lenses are what I wear.




Only .jpg, .jpeg, .png, and .gif formats are allowed.(10MB file size limit)

Eyes that are watering
A tinge of crimson
Mucus/thick discharge
Eyelids that are stuck together
Feeling gritty or irritating
Vision is hazy
Internal eye pain
Discomfort
Headache
Light sensitivity
Redness that is intense



Presently Pregnant
Presently Breastfeeding
Planning on getting pregnant
Neither Pregnant nor Breastfeeding

Male
Female
Transmale (Born a female)
Transfemale (Born a male)


At least 72 hours
A week
A month
More than a month


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