services overviewEmergenciesFees and Insurancescheduale appointment

Website Appointment Scheduling


Please Note:  You will typically receive a response within 24 hours.

All emergency appointments need to be made
over the telephone toll free at: 1-800-292-1668

Fields starred in red are required


Title*:
First Name*:
Last Name*:
Birthdate* (mm/dd/yyyy):
Address 1*:
Address 2:
City*:
State*:
Zip*:
Email*:

Phone Numbers:

Daytime*:
Evening:
Emergency:

Insurance Information:
Health*:
Vision*:
Employer*:
(that insurance is carried through)

How did you hear about us?*
Type of Appointment* Routine
Medical
Free LASIK Screening
Cosmetic Consultation
Skin Care Service
Doctors and
Professional Staff*
Location*
Preferred Day*
Preferred Time*
Question or Comments
      

* Required.
.

Lansing Ophthalmology
2001 Coolidge Road,
East Lansing, MI
Appointments & Information:
1-800-292-1668 or 517-337-1668

Website services by: Vision Creative