WORKING ON YOUR SCHEDULE

Book an Appointment

We are happy you chose our office for your care. Please let us know when you would like to be seen and we will do our best to accommodate you. We have several ways you can contact us. You can text, call or email us or just fill out the form below and we will find a time that fits in your schedule.

The form below is for the purpose of scheduling routine exams only.

If you have an EMERGENCY or need to leave a message for a doctor, please CALL THE OFFICE DIRECTLY and follow the instructions provided there.

This for is for requesting a routine eye exam only.

Which office would you like to be seen in?*
Which doctor would you like to see:
Patient Type*
Please let us know if you are a new or existing patient.
- New patient
- Returning patient
Name*
First Last
Phone*
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Date of Birth*
MM slash DD slash YYYY
Insurance Information:
If you have Medical and/or Vision Insurance, please provide us with your provider and Member ID number(s).
Any other comments?
Phone
This field is for validation purposes and should be left unchanged.

We are looking forward to seeing you!

This form is for the purpose of scheduling routine exams only.

If you have an emergency or need to leave a message for a doctor, please call the office directly and follow the instructions provided there.