Appointments in Fishers, IN - Fall Creek Vison Center

Please use this form for general information purposes only. DO NOT send personal health information through this form. Specific patient care must be addressed during your appointment.

Please complete the following form to request an appointment. Please also note that availability will vary depending on your request. Your appointment will be confirmed by phone by a member of our staff. Thank you!
Upon receipt of your email, our staff will call to schedule the appointment. Please have your vision insurance information readily available.
Name
Phone*
This appointment request is for a:*
- New Patient
- Existing Patient
Email*
Vision Insurance Provider (VSP, Eyemed, Etc.)*
Please note that we do not accept Spectera, Superior Vision, or Davis vision plans. Additionally, we are not in network with any IN Medicaid, Caresource, or HIP plans.
Preferred Doctor:*
- Smith
- Wagler
- Riina
- No Preference
Preferred Date*
Preferred Time
Untitled*
- complete/yearly exam
- medical visit (eye problem)
Email
This field is for validation purposes and should be left unchanged.