Appointments

Want to schedule an appointment?

Don't have the time to call? This quick Email form will get the process started for you. Just fill out the form and submit it. We'll get back to you with a quick response to confirm your appointment. Thanks for coming in for a visit.

* Indicates required fields

  • First Name
  • Initial
  • Last Name
  • Date of Birth
  • Daytime Phone

Please choose 2 appointment dates, in order of preference.

Choice 1:

Choice 2:

What time of day would you prefer? (check one)

Morning        Afternoon        Either

Have you ever been a patient at American Vision at the Court before? 

yes   no

If so, approximately when: 

Reason for your visit and/or additional information that you wish to provide us:

How would you like us to confirm your appointment?

phone - preferred and fastest method of confirmation
 email

Before submitting this appointment request with the button below, please re-read your entries to ensure that your information is accurate and read the following privacy statement.

The information you supply via this appointment form is considered strictly confidential and will never willingly be shared with anyone without your explicit permission.  If you deem the information we ask for to be sensitive, the only way to ensure its absolute security is to discuss it with the doctor face-to-face.  We encourage you to do so by requesting an appointment by phone.