Online Request Form

Instructions

USA Customers complete the form below to request training

Online Training Request Form - USA Customers Only

To schedule clinical training at your center, complete the following form and submit to Alcon for processing. USA Customers Only.

Center Details
Surgery Center Details
Trainee Details
Alcon requires a minimum of 5 eyes scheduled for LenSx and ORA to schedule an Alcon CAS; Alcon requires a minimum of 6 eyes scheduled for WaveLight to schedule an Alcon CAS.
Hands-on Didactic Dates (Phase II)
or
Surgery Observation Dates (Phase III)
or

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