Appointment Request

New Patients

You can request your complimentary consultation by completing the form below. A helpful scheduling coordinator will be in contact to reserve a time just for you.

If preferred, feel free to call us at (817) 514-1717 to schedule your first visit.

Active Patients

AAO Informed Consent

This form can be used to request a call to schedule your next appointment. If you need to cancel or reschedule an existing appointment, or if you require immediate attention, please contact us directly.

Contact Information:

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Office Location Preference - Select A Location -North Fort Worth OfficeSaginaw OfficeHaslet OfficeAzle OfficeKeller Office Your Name First and Last Your Email Address:
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