To request an appointment, please fill out your personal information and click on the button labeled "Send Request". You will receive a response within one business day.

If you are requesting an appointment for neuro-ophthalmology, please know that it requires a referral from your current eye doctor or physician before we can schedule you. Please have your doctor fax the needed referral to the Neuro-Ophthalmology department at 801-581-8822.