Appointment

Last Name (required)

First Name (required)

Your Email (required)

Daytime Telephone

Patient Status
 New Established

Exam Type
---Regular Check-UpRegular Check-Up with Contact LensesEye Problem (ie Red Eye, not for glasses)Contact Lens Check-Up (after a new fitting)Lasik ConsultationProblem With New Glasses

Day
---First available dayFirst available MondayFirst available TuesdayFirst available Wednesday (includes evening appointment)First available Thursday (only early AM appointments)First available FridayAny day

or Specific Date

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Time
---Early AM (9:00-10:30)Late AM (10:30-12:00)Early PM (1:00-2:00)Late PM (2:00-4:30)Evening (4:00-5:30) Wednesday Only