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Corrective Eye Surgery Waiver Form for

Corrective Eye Surgery Waiver Form for 2025

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The document is a Corrective Eye Surgery Waiver Form for applicants of Ranger School who have undergone PRK or LASIK surgery. It outlines the conditions under which waivers are required, specifically if the surgery occurred within 90 days of the school start date, and prohibits attendance if the surgery was less than 30 days prior or if daily medicated eye drops are still in use. The form includes sections for personal information, medical history related to vision, and an evaluation by an ophthalmologist or optometrist.

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Click ‘Get Form’ to open the Corrective Eye Surgery Waiver Form in the editor.
Begin by filling out Part 1 as the applicant. Enter your Name, Rank, Age, Date of Birth, Address, Zip Code, and Phone numbers (Home and Work). Make sure all information is accurate.
Indicate your Surgery Date and Type (PRK or LASIK). Then, answer the questions regarding visual difficulties by checking 'do' or 'do not' for each statement.
List any topical eye drops or medications you are currently using or have used in the last month in the designated field.
Proceed to Part 2, which must be completed by your Ophthalmologist or Optometrist. Ensure they document pre-laser treatment refractive error and visual acuity accurately.
Finally, have your doctor sign and stamp the form after assessing any limitations that may affect your Ranger Training completion.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the average cost of corrective eye surgery?

Depending on the components listed above, the cost of laser eye surgery generally ranges from $1,500 to more than $3,000 per eye. Often included in the price is the LASIK procedure, pre-and post-operative care, and a follow-up procedure if the initial LASIK eye surgery needs some fine-tuning down the road.

How do I know if I qualify for eye surgery?

6 Signs Youre A Good LASIK Candidate Youre Over 18. To get LASIK, you must be at least 18 years old. You Have a Stable Vision Prescription. Youre in Good Overall Health. You Dont Have Dry Eye. Your Prescription is Within Certain Limits. Other Factors.

Is LASIK free for the military?

Your age and the reason for surgery are key factors. Most laser eye surgeons will ask you to wait until your glasses prescription has been stable for at least 2 years before considering surgery. Getting surgery while your eyes are still growing can increase risks and may not give you the best long-term results.

Who is a candidate for corrective eye surgery?

Good candidates are 21 years and older, have good eye and general health, with stable prescriptions (for at least one year). Talking Points: LASIK is generally safe and effective for correcting myopia, hyperopia, and astigmatism. About 94-100% of patients with low-to-moderate myopia achieve 20/40 vision or better.

What would disqualify you from lasik eye surgery?

You have a disease or are on medications that may affect wound healing. Certain conditions, such as autoimmune diseases (e.g., lupus, rheumatoid arthritis), immunodeficiency states (e.g., ) and diabetes, and some medications (e.g., retinoic acid and steroids) may prevent proper healing after a refractive procedure.

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Who qualifies for corrective eye surgery?

To have LASIK surgery, you need to meet certain requirements. Here are some of them: You should be 18 years or older (ideally, over 21 years old, when vision is more likely to have stopped changing). Your eye prescription should not have changed much in the last year.

Will insurance pay for corrective eye surgery?

Medicare, Medicaid and private insurers dont cover elective eye surgeries. However, you can use your flexible spending account (FSA) or health savings account (HSA) for LASIK.

Corrective Eye Surgery Waiver Form for 2025

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What is the average cost of corrective eye surgery?

How do I know if I qualify for eye surgery?

Is LASIK free for the military?

Who is a candidate for corrective eye surgery?

What would disqualify you from lasik eye surgery?

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Who qualifies for corrective eye surgery?

Will insurance pay for corrective eye surgery?

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