Schedule a Consultation

Ready to take the first step?

Wondering if you’re a candidate for keratoconus treatment or laser vision correction? Find out with a complimentary, personal consultation with Dr. Rubinfeld. Just fill out this form below and our staff will contact you at your convenience within one business day to schedule your appointment.

First Name

Last Name

Phone

Which procedure are you interested in?

Date of Birth

Mailing Address

When is the best time to call?

We will call Monday through Friday within one business day of filling out the form.

How did you hear about us?

Name of referring doctor, friend, family member, etc.

We have a Re:Ward Program, so please note the name of the person who referred you so we can thank them for their recommendation.

Is there anything else we should know before we reach out?

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Schedule a Consultation

Ready to take the first step?

Rockville Office

Fairfax Office

Hours

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