Request an Appointment

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Request A Consultation

We look forward to seeing you. To request an appointment online, please fill out the form below. If you are having a life-threatening emergency, please call 911. For any retina related emergencies, please call us at 913-831-7400.

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First Name *

Last Name *

Email *

Phone *

Which location would you prefer?

No PreferenceLenexa Office (Lenexa, KS)Overland Park Office (Overland Park, KS)

How can we help? *

What's your availability?

FlexibleMondayTuesdayWednesdayThursdayFriday

Preferred Time

FlexibleMorning (AM)Afternoon (PM) Evening (PM)

Secondary Preferred Day (Optional)

MondayTuesdayWednesdayThursdayFriday

Secondary Preferred Time (Optional)

Morning (AM)Afternoon (PM)Evening (PM)

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