Make an Appointment

Please take a moment to request an appointment and a member of our staff will be in touch with you shortly to schedule and confirm your appointment.

Contact Information
Please provide current contact information so that we can contact you to confirm your appointment.
Name*
Phone*
Email*
Patient Status
- New Patient
- Existing Patient
I'm making an appointment for:
- Routine Comprehensive Eye Exam
- Non-Routine Problem-Focused Medical Visit
Do you wear or plan to wear contact lenses?
- I would like to be fit with contact lenses for the first time.
- I already wear contact lenses and need the prescription updated or renewed.
- No
Date & Times
Please be aware that appointments must be requested at least 1 day(s) in advance.
Preferred Date*
Alternate Date
Time*
Comments
Important: Please note that the date and time you requested may not be available. We will contact you to confirm your actual appointment details.