Appointment Request

Step 1:

Complete the appointment request form

If you are a new patient to our office, the forms below will need to be filled out when you arrive for your first appointment in our office. Completing these forms will allow us to attend to your eye care needs more quickly than completing them on your arrival. Thank you and please call our Dothan opthalmology office if you have any questions or need any assistance.

Step 2: (New Patient)

Complete the following forms if you are a new patient.


Step 3: (New Patient)

Download the HIPPA Privacy Act document and review.