Schedule a Dry Eye Appointment for Diagnosis or Treatment

We look forward to helping you at our Stoughton Office. Please schedule an appointment so we can work together to further evaluate your eyes. We are open six days a week. Let us know when you are able to meet and we’ll get back to you with options for appointment times.

Please include as many details as possible in the “Comments” section, so we can get an idea of your situation before you visit.

You may also call us at 608-205-6810.

Hours

Mon - Fri | 8:00 AM - 4:30 PM
Sat & Sun| Closed

Dry Eye Appointment Request Form

Name

First Name

Last Name

Date of Birth

YYYY

Contact Information

Email Address

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Appointment Information

Which Describes You Best?

Preferred Date

Select the best day for you.

YYYY

Preferred Time

Hour

Minute

Second

2nd Choice Date

YYYY

2nd Choice Time

Hour

Minute

Second

How will you pay?

Insurance Company

Comments

Please let us know if you have information that may help us understand your situation or needs.

Schedule a Dry Eye Appointment

Hours

Dry Eye Appointment Request Form

Contact Us

Available by appointment in Stoughton, WI

Mon - Fri | 8 AM - 4:30 PM
Sat - Sun | Closed

Schedule a Dry Eye Appointment

Hours

Dry Eye Appointment Request Form

Available by appointment in Stoughton, WI

Mon - Fri | 8 AM - 4:30 PMSat - Sun | Closed

Mon - Fri | 8 AM - 4:30 PM
Sat - Sun | Closed