Stanford University

Laser Eye Examination Form

Print
Last updated: November 21, 2017
Tool TypeForm
FormatPDF

How to Use

To request an eye exam, fill out and submit the form below. After submitting the form, wait two days, and then call the Stanford University Occupational Health Center (SUOHC) at (650) 725-5308 to schedule an appointment.

Ask for a “pre-placement laser eye exam.” Health Physics will give SUOHC your name.

For laser safety questions, contact Arefeh Shanjani at (650) 725-1411 or via email at arefehs@.stanford.edu, or call the Health Physics office at (650) 723-3201.

Webform

Back to Top