Skip to main content
Menu
6 offices conveniently located within Walmart Vision Centers - Walk-ins Welcome!
Home » Contact Us » Appointment Request Form

Appointment Request Form

To request your next appointment, please complete the form below and let us know the most convenient time and date for you. We will call you to finalize your request, therefore please include accurate contact details. If you would like to be seen within the next couple of days, please call the clinic of your choice directly to schedule an appointment.

We are strongly recommending our digital retinal photos during your eye exam to reduce time spent face to face with the optometrist. This cost is not covered by insurance and will be explained prior to your exam. You will be given a chance to ask questions about it.

  • Please fill in the form below to setup an appointment.
  • Please provide a reason for your appointment. Details are stored securely and not sent by email.
  • Please let us know when you would prefer to have your appointment. Our hours are listed on our location page.
    Please let us know if you are a new or existing patient.
  • :
  • This field is for validation purposes and should be left unchanged.
x
Request An Appointment Today