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.

  • 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.
  • This field is for validation purposes and should be left unchanged.