Patient Appointments

Request an Appointment

Complete the form below and our scheduling team will review your request and contact you within 1–2 business days to confirm a time.

If you are experiencing sudden vision loss, a curtain or shadow in your vision, new flashes or floaters, or severe eye pain — please call us immediately at 210-615-7600 rather than submitting this form.

Not booking an appointment? Billing, records, scheduling changes, or a question for your care team.

About You

First Name*

Last Name*

Date of Birth*

Phone Number*

Your Visit

Reason for Visit*

Location

Physician

Insurance & Documents (Optional)

A photo of your insurance card helps us verify coverage before your visit.

Insurance Card — Front

Take a photo or browse

Insurance Card — Back

Take a photo or browse

Other Medical Records

Drag files here or browse to upload

Referral letters, eye exam records, or test results

This form is not for emergencies. For sudden vision loss, a curtain or shadow in your vision, new flashes or floaters, or severe eye pain, call 210-615-7600.

Fields marked * are required. We will call you within 1–2 business days to schedule.

Seek Immediate Care For

Sudden vision loss
Curtain or shadow in your vision
New or worsening flashes or floaters
Severe eye pain

Do not wait for a form response. Call us directly.

210-615-7600

Office Contacts

San Antonio

210-615-7600

Laredo

956-722-5200

What Happens Next

We review your request
Our scheduling team will review your request within 1–2 business days.
We contact you
We'll call you to confirm a time.
Insurance & records
We'll verify coverage and gather any needed prior records.
Your appointment
Bring a list of current medications and any prior eye records if available.