Appointment Form - By submitting your preferred appointment information you are ONLY making a request.  The staff member from the office you requested will call you to confirm your appointment.

If you are experiencing a medical eye emergency please call an office immediately.

All fields marked with * are required. * First Name: * Last Name: * Email Address: * Telephone: Best Time To Contact: Preferred Clarkson Office: Preferred Appointment Time: Preferred Appointment Date: Comments:     Click Here to fill out and print Patient Welcome Sheet to bring with you to your appointment.