Schedule an Appointment

Please fill out the form below and we will contact you with an appointment time. Required fields are marked with asterisks (*).

Patient Information

Patient Name: *

Contact Name:

Relation to Patient:

Home Phone: *

Work Phone:

Email Address:

Are you currently a patient of The Eye Studio?: *

Yes

What is the reason for the appointment?: *

Vision and eye health exam for glasses wearer

Vision and eye health exam for glasses and contact lens wearer

Ortho-K Consultation

Dry Eye Evaluation

Medical concern

Other concern

What concerns, if any, would you like to speak to the doctor about:

Office Hours

Monday: 9am-6pm
Tuesday: 9am-6pm
Wednesday: 9am-6pm
Thursday: 9am-6pm
Friday: 9am-6pm
Saturday: 9am-4pm
Sunday: Closed

Scheduling Information

Please enter up to three times that would work well for you (i.e. Thursday mornings" or "Wednesdays around 3pm").

First Choice:

Second Choice:

Third Choice:

Confirmation

Our staff will contact you by phone within 24 hours.

SCHEDULE AN APPOINTMENT