Appointment Request Patient Type* New Patient Returning Patient Name* First Last Date of Birth* Phone*Type Cell Home Email* Reason for Appointment* Diabetic Eye Exam I wear Glasses I wear Contacts I don’t wear glasses or contact lenses I have a new eye concern (please leave details in the comment section below) Preferred Day Monday Tuesday Wednesday Thursday Friday Preferred Time Morning Afternoon Preferred Provider*Dr. HigleyDr. LeoNo preference/First available openingCommentsCAPTCHAEmailThis field is for validation purposes and should be left unchanged. Do we accept your insurance? Click here to find out.
*All Services By Appointment Only