Contact & appointments

Tell us how we can help

Call the office, get directions, or send an appointment request. A team member will follow up to confirm availability.

Request an Appointment

Appointment request

Complete the form below. This is a request, not a confirmed appointment.

Same-day requests are not guaranteed. The office will contact you to confirm availability.

First name *

Last name *

Telephone number *

Email address (optional)

Preferred contact method *

TelephoneText messageEmail

Service requested *

Preferred date *

Same-day requests are not guaranteed. The office will contact you to confirm availability.

Preferred time period *

Patient status (optional)

Vision insurance company (optional)

Preferred language (optional)

Short nonmedical message (optional)

Please do not include medical details, Social Security numbers, insurance member IDs, payment-card information, or other sensitive information.

I consent to being contacted by telephone, text message, or email about this request. I understand this is not a confirmed appointment. *

Submitting this form does not confirm an appointment. A member of our office will contact you to confirm availability.

Please do not include medical details, Social Security numbers, insurance member IDs, payment-card information, or other sensitive information.

This website is not monitored for medical emergencies. Call 911 or seek emergency medical care for urgent symptoms.

Your request is sent to the office by email and stored in the protected owner dashboard for the provisional 90-day retention period. It is never saved in browser storage.