Appointment Request Form

Please fill out this form below, and note what you prefer for your appointment time. (ex. December 15, 9:00 a.m., After 4:00 pm etc.)

If you are needing to set up an appointment that is not a routine eye exam (ex. medical emergency) please call our office at 913-262-3937.

Please make note of our new hours:   

Mon,Tue, Fri- 8:00am - 5:00 p.m.
Wed 10:00am- 7:00 p.m.
Sat 9:00am- 1:00 pm.