Alcon Experience Academy

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

Training Requestor Information

Clinic / Surgery Center Details

Surgery Center Details

Has Surgery Center Been Reserved for the Dates Provided?

Same as Above

Surgery Center Name *

Country

Street Address

City

State / Province

Postal Code

Surgery Center Contact Name

Surgery Center Contact Email

Surgery Center Contact Phone Number

Trainee Details

Number of Eyes Scheduled *

Alcon requires a minimum of 5 eyes to schedule an Alcon CAS

CAS Hands-on Training Dates (not live surgery)

Biometer
LenSx Cataract
LenSx Flap
LenSx Pockets
LenSx Tunnels
ORA
Verion DML
Verion DMM
Verion Reference Unit
VLynk
WaveLight Allegretto Eye-Q (400Hz)
WaveLight Allegretto Wave (200Hz)
WaveLight Analyzer II
WaveLight Contoura
WaveLight EX500
WaveLight FS200
WaveLight FS200 Pockets
WaveLight FS200 Tunnels
WaveLight Oculyzer II
WaveLight Topolyzer VARIO

CLINICAL TRAINING REQUEST FORM