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Welcome To our e-Scheduler
 Your Complimentary Consultation will take approximately 30 minutes of your time. We recommend that any questions you might already have should be brought in to share with the doctor and/or staff. Please allow up to but no more than 24 hours to accomodate your schedule request.

* Required fields
Name *
E-mail Address *
Contact Phone Number (incl. area code)
Address
Date of Birth (MM/DD/YYYY)
Which LASIK procedure are you interested in?
What type of contacts do you wear?
What type of glasses do you wear?
DATE I'd like my appointment
TIME I'd like my appointment
In the event the selected date and time are not available, I'd like an appointment on a
I'd like my appointment confirmed by * Email
Phone
Mail

I have read and agree to the Privacy Policy *

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