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 Fields

Personal Information
First Name:
Last Name:
Email:
I am a:		Current Patient New Patient

Appointment Details
Type of Exam:
Timeframe:
Preferred Doctor: Preferred Day:
Preferred Time:

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

(Because we work in health care, we value your privacy and confidentiality. Your personal information will not be used by us other than to schedule an appointment. We will never lend or sell your name to another company.)

Contact Info

Northwest Vision Center

Note our NEW Address!
2200 W. Henderson Rd.
Suite A
Columbus, OH 43220
(614) 273-2020
(614) 273-4335 FAX eyes@nwvision.org
http://www.nwvision.org

Registration Forms:
New Patient	(113k)
Existing Patient	(96k)

Yearly vision checks are the key to healthy eyes. The Vision Council of America has a 1-minute SightSaver Test available on their web site. Once you take the test, don't forget to call our office or schedule an appointment online with our office.