KeraNatural Surgical Treatment Plan

Fill out the request form below to receive an individualized surgery treatment plan recommendation.​

Before submitting the form

  • Please review your data before submitting the form.

After submitting the form

  • Please download a copy of your completed form on the screen that you see after submitting your form.
  • You will also receive an email acknowledging that we received your surgical plan request. It will include a Unique ID for your submission. If you have any changes you need to make to your submission, please email mhowell@visionshare.org ASAP with your requested changes.
  • We will then make the updates and send you an updated form for your review and approval before creating the surgical plan.
  • If you have any questions or concerns, don’t hesitate to reach out to us at 888-657-4448.