Pacific Specialists

Request A Consultation with Howard Krauss MD

Please complete the following form to request a consultation with Dr. Krauss. Dr. Krauss will personally respond to your email as soon as possible.

How Can We Help You?
(Please check all that apply.)
Vision Evaluation/Correction
LASIK
Eye Examination
Eyeglass Prescription
Contact Lenses
Vision Loss

Cosmetic Procedures
Eyelid surgery
Botox
Other Cosmetic Enhancements
Eye Conditions and Surgery
Dry Eye/Excessive Tearing
Double Vision
Lazy Eye/Wandering Eye
Eye/Eyelid Infection
Cataracts
Glaucoma
Graves or other Inflammatory conditions
Other (please specify below):

Tell us about yourself

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* First Name:
* Last Name:
* Phone Number: -- ext.
* Email Address:
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City:
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*Age:

Tell us more about your problem or your area of interest


Additional Questions:



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These email updates may include announcements or newsletters concerning topics of medical interest, upcoming events, as well as other information related to our services at Pacific Specialists. Pacific Specialists respects your privacy and will not sell or release your information to any third party. Opportunities to opt-out of our emails will be provided with each communication.

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By submitting this form via email, you are acknowledging that email is not a secure form of communication and consenting to the use of email. There is some small risk that any protected health information that may be contained in an email may be disclosed to, or intercepted by, unauthorized third parties. Pacific Specialists will use the minimum necessary amount of protected health information to respond to your query. Further, Pacific Specialists will never disclose or share any information you provide with any third party.

Alternatively, please call Pacific Specialists at 310.477-5558 to arrange a phone conversation or office visit.