Please Fill Out a Form Below to Request an Appointment

If you would like to request an appointment, please fill out the appropriate form below or call us at (920) 327-7000 or (877) IN-A-WINK. Our Patient Services Team will be available from Monday to Friday, 8am to 5pm.

Annual Eye Exam Appointment Request

To book an annual eye exam, please fill out this form, request a call back or contact our Patient Services Team directly at (920) 327-7000 or (877) IN-A-WINK.

Annual Eye Exam Appointment Form

Refractive Surgery Consultation

If you are interested in corrective eye surgery and would like to book an initial appointment, please fill out this form, request a call back or contact our Patient Services Team directly on (920) 327-7070 or (877) IN-A-WINK.

Refractive Surgery Consultation Form

General Inquiries

For general inquires, fill out our contact us form or contact our Patient Services Team directly at (920) 327-7000 or (877) IN-A-WINK.

Contact Us Form

Contact Us Request An Appointment