Skip to main content

Map

Our Location

10071 Wadsworth Pkwy, Ste 200
Westminster, CO 80021

slideshow_1
slideshow_3
slideshow_4
slideshow_2
slideshow_5
Home » Contact Us » Appointment Request Form

Appointment Request Form

If this is an EMERGENCY, or you have a Medical concern, DO NOT contact us via email.

PLEASE CALL 303-427-2020

Complete the following form and allow 3-4 business days for response. Our office is small and our team is short-staffed, we respond as soon as possible. For faster scheduling, always call.

  • Please fill in the form below to setup an appointment.
  • Please provide the main reason for your appointment. Details are stored securely. -Annual Eye Exam (glasses and contacts) -Routine Medical Exam (diabetes, glaucoma check-ups) -Medical Concern *Please call us for urgent scheduling.
  • Our Hours: Sunday-closed, Monday-closed, Tues-Friday- 8:30am- 5:30pm, Saturdays- 8am-1pm.
  • Please include the name of your Vision Insurance and have your member ID information ready. We will need to verify that your plan is accepted at our office. Examples: VSP (Vision Service Plan) EyeMed (plan specific) Spectera
  • Please allow 3-4 business days for a response. Our office is small and our team is short staffed. We respond as soon as possible. For faster scheduling, always call.
  • This field is for validation purposes and should be left unchanged.
x

WE REQUIRE APPOINTMENTS FOR ALL VISITORS. DO NOT ENTER THE BUILDING WITHOUT AN APPOINTMENT. You must cancel your appointment if you have any symptoms of illness.

The State of CO, Jefferson County, and the City of Westminster require face coverings within businesses and we will continue to require face coverings be worn tightly fitting over your nose and mouth. Please see our website for detailed safety operations in line with the CDC requirements.