The first step towards better vision is to schedule an appointment.  If you complete the online appointment request below, our scheduling coordinator will contact you to confirm an appointment.  You can also schedule an appointment by directly calling (408) 296-0511.

 Online Appointment Request


*Items in bold are required.
Name:  
Address:
City:
State/Province:
Zip/Postal:
Email:
Phone:  
Are you a current patient?
Best time(s) to call?

Preferred day(s) of the week for an appointment?
Preferred time(s) for an appointment?
Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.

How should you prepare for your exam?

You can save time by printing, reviewing, and filling out check-in paperwork ahead of time.  Please remember to bring the completed forms to your exam.

  1. All patients should bring:
      • List of current prescription medications that you are taking
      • All recent glasses (includes all glasses that you actively use such as reading, computer, or sports glasses)
      • Sunglasses
  2. Contact lens patients should bring:
      • Copy of your previous contact lens prescription or old boxes/labels/vials that show specifications
      • Wear your contacts to the appointment, unless you are having problems.  Do NOT wear contacts if you are having problems -- instead, bring that pair in your contact lens case.
      • Note which contact lens solutions & drops you are using.
      • All recent glasses (includes all glasses that you actively use)
      • Sunglasses