Make an Appointment
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Make an Appointment

Now you can request an appointment online!

Fill out the information below with your preferred time of appointment. Appointment requests usually are processed within two business days. If you experience any difficulty with this form please send an e-mail to eyes@nwvision.org or call us at (614) 273-2020. Please note: this function is not for urgent appointments or for appointments you may need today. If this is an emergency, call 911 or go to your local emergency room.

required field= Required Fields
Personal Information
First Name: required field
Last Name: required field
Email: required field
I am a: required field Current Patient New Patient


Appointment Details
Type of Exam: required field
Timeframe: required field

Preferred Doctor:

Preferred Day:

 required field
Preferred Time: required field    

We will make every effort to accommodate your request. Please understand that certain days and times are busier than others, so your preferred day and/or time may not be possible.

Contact Information
How should we contact you to confirm your appointment?
E-Mail:
Daytime Phone:
Evening Phone:


Additional Comments/Questions