Schedule An Appointment

We are excited to offer online appointment requests for all of our locations. Please fill out the following form. After you have submitted the form we will contact you to schedule your appointment.

First Name*

Last Name*

Date of Birth

Email Address*

Address

Home Phone

Work Phone

Best time and number to call?

Which office would you like to visit?*

Are you a returning patient?

Do you have a preference for which doctor you would like to see?

Type of Appointment

Routine eye exam for glasses

Routine eye exam and contact lens evaluation

Office visit for medical eye problem

Lasik consultation

Dry eye workup

What day would fit your schedule?

What time would fit your schedule?

Additional Information

*denotes required field

Eye Care Minnesota

Schedule An Appointment