Thank you for your interest in signing up for NextMD. By filling out the form below, we will be able to email you the NextMD enrollment form which you will then be able to fill out online, sign electronically and return to us via email. Within 24 hours of receiving your enrollment form, we will email your activation code and the website address for NextMD.

We would also like to take this opportunity to offer you additional information about procedures/products that Claris Eye Care & Surgery offers: Check all that apply:

 Laser Vision Correction

 Cataracts/Multifocal Lens

 Botox Cosmetic®/Latisse®