For Patients

Find a CSI Clinic Near You

Share a few details and a CSI Dry Eye-powered clinic in your area will reach out to schedule your dry eye assessment.

Personal Information

First Name

Last Name

Email Address

Phone Number

Location

City

Province / State

Country

Additional Information

Referring Doctor Name (Optional)

By submitting this form, you consent to CSI Dry Eye sharing your information with a participating clinic so they can contact you about your results. This form does not schedule an appointment or guarantee treatment. A clinic representative will follow up to discuss next steps.