Routine requests

Request an appointment. Staff will confirm the details.

Use this form for non-urgent scheduling only. A submission starts the conversation; it does not confirm a date, time, location, physician, or treatment plan.

Urgent eye symptoms?

Sudden vision loss, a chemical injury, severe eye trauma, or new flashes and floaters with a curtain or shadow need immediate professional attention. Do not use the routine appointment form.

Call now

Before you submit

  • Do not include symptoms, diagnoses, records, insurance identifiers, or other sensitive health information.
  • Clinic staff will contact you by phone or email to confirm availability.
  • You can also contact the clinic directly.
Do not submit emergencies, diagnoses, medical records, insurance identifiers, or other sensitive health information. Submission does not confirm an appointment.

For urgent symptoms, call instead of submitting this form.

Example: weekday mornings. Do not include symptoms, diagnoses, records, or insurance identifiers.