Appointment

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Tell us when you would like to be scheduled for an appointment and for what purpose. One of our schedulers will call you to set up an appointment time that is convenient to you. After you schedule an appointment, download the patient forms, print them, and fill them out before you come into the office to expedite your check-in process.

Patient Forms: Requires Adobe Acrobat Reader

Patient Registration Form

Patient History Form

Privacy Notice Form

What kind of appointment would you like to schedule?

Routine Eye Problem Vision Correction/LASIK Consult Cosmetic Consult Contact Lens Fitting Other

Are you a current patient of this practice?

Yes No

When is a convenient day for your appointment?

Time:

Enter a brief reason for your appointment:

Tell us how to get in touch with you:

Name
E-mail
Tel
FAX

Please contact me as soon as possible regarding this appointment.