Doctors
Our Doctors
Referring Doctors
Cataract Surgery
RLE
Services
LASIK
Dry Eye
Dry Eye Products
Complete Eyecare
Your Visit
Request an Appointment
Patient Forms
Surgery Instructions
Insurance Plans
Pay Your Bill
Reviews
News
Contact Us
Menu
Menu
Request an Appointment
Please enable JavaScript in your browser to complete this form.
Name
*
First
Last
Email
*
Phone
*
Type of Appointment
*
New Patient: Cataract Evaluation - Dr. Raviv
New Patient: Cataract Evaluation - Dr. Raviv
New Patient: LASIK Evaluation - Dr. Raviv
New Patient: RLE (Refractive Lens Exchange) Evaluation - Dr. Raviv
New Patient: Second Opinion after Cataract Surgery Elsewhere - Dr. Raviv
New Patient: Comprehensive Dry Eye Evaluation - Dr. Sherman
New Patient: Other - Dr. Sherman/Dr. Lee
Existing Patient Follow-Up
Day Preference
*
Monday
Monday
Tuesday
Wednesday
Thursday
Friday
Time Preference
*
Morning
Morning
Afternoon
Comments
Request Appointment
Scroll to top