Appointment Request

The first step towards better vision is to schedule an appointment. Please contact our office by phone (call or text) or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Please do not use this form to cancel or change an existing appointment.
*Items in bold are required.
Are you a current patient?


Preferred day(s) of the week for an appointment?

Preferred time(s) for an appointment?

Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

Please include the Vision insurance provider, and describe the nature of your appointment (contact lens evaluation, eye infection, etc.)


Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.

Testimonials

View More