Appointment Request Form

If this is an emergency, do not contact us via email, please use our emergency contact information.

While we accept many medical and vision insurance plans, we would like to confirm that we accept your specific health plan. Please have your Vision AND Medical Insurance Plan cards with you when you call us.

Please don't forget to include accurate contact details so we can follow up with you to finalize your request. After you complete the appointment request form and hit the "submit" button, we will contact you as soon as possible to check your insurance coverage and schedule a time for you to come and see us.