Enter you details hereFirst Name *Last Name *Enter Email Address *Enter Your Phone Number *Age *Please select your eye issue *Amblyopia or Lazy EyeSquint Eye or StrabismusEye StrainConvergence or Divergence ProblemComputer Vision SyndromeAre you able to see clearly with glasses ? *YesNoI don't wear glassesDo you have Laptop/Computer? *YesNoI can arrange for 1-2 hoursDo you have eye reports with you? *YesNoI can visit to doctor and then share with youUpload fileChoose FileNo file chosenDelete uploaded filePlease upload your report so that we can confirm with our doctors?SubmitPlease do not fill in this field.
