Request An Appointment for LASIK/PRK | University of Utah Health

Call 801-581-2352 to request an appointment

To request an appointment for LASIK or PRK surgery, please fill out your personal information and click on the button labeled "Submit".

First Name*:

Last Name*:

Address:

City:

State:

Zip Code:

Email Address*:

Contact Number*:

Preferred Contact Method:

Preferred Contact Time:

Specialty: