• Please complete the following form to request an appointment. Please also note that availability will vary depending on your request. Your appointment will be confirmed by phone by a member of our staff. Thank you!
  • Date Format: MM slash DD slash YYYY
  • This field is for validation purposes and should be left unchanged.

This form is not for emergencies or urgencies which include but are not limited to the following: eye pain, loss of vision, sudden blur or vision loss, new floaters, flashes of light, light sensitivity, red-eye, etc. Please call the office to schedule an appointment as emergencies and urgencies need to be seen quickly or please go to the emergency room if we are closed or unable to contact us.