Click the form(s) that you need below. Simply download the PDF file, print and fill it out at home, then bring it with you on the day of your appointment. These forms are created with Adobe Acrobat and require the free PDF viewer to download, view and print. If you have problems with these files please download the Free Adobe reader.

Schedule Your Appointment Today!

Please fill out the form below to request your General Eye Care Exam, Cataract Evaluation, Free LASIK Consultation, or other eye care appointment. A Patient Care Representative will be in touch within 24 business hours to confirm your appointment.

For all other inquiries, please call us at (800) 714-2020. Our hours are 8 a.m. – 5 p.m., Monday – Friday.
Please note that your appointment request information is uploaded to a secure, HIPPA-compliant portal. A patient care representative will be in touch with you to confirm your appointment.
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