it's nice to meet you.

Fill out the form below to the best of your ability. We will respond to all appointment requests within 24-hours. Please note, we do our best to accommodate your preferred date and time. We will contact you and inform you if there are any scheduling conflicts.

There's no pressure, and nothing is set in stone about how you feel or what you do for fun. It's more to help us in giving you a personalized consultation. We want to save you time and give you the best shopping experience possible. The information you provide will give us a better understanding of what your daily vision requirements are and a sense of your personal style.

Select your preferred Date and Time for your consultation

Desired Date

Desired Time

Patient Information

First Name

Last Name

Age

Phone

Occupation

Address (best location to meet)

Have you had a recent eye exam? Yes No If so, when?

Eye Prescription (if available)

Right(OD)

Sphere

Cylinder

Axis

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Left(OS)

Sphere

Cylinder

Axis

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Do you wear glasses? Yes No

Are you using a digital device (phone, tablet, computer, TV) for over 2 hours daily? Yes No

How do your eyes feel after a day at school/work?

What do you do for fun? (We consider unique individual lifestyles in selecting frames and lenses.)

Current frame shape and size (found on the temple/bridge of your frames)

Shape

Lens Width

Bridge Width

Temple Arm Width

Color

Desired frame shape/color/size

Shape

Lens Width

Bridge Width

Temple Arm Width

Color

Is there a specific model you have tried/seen you loved and would like to special order? If so, please list make and model.

Brand

Model #

Color

How did you hear about us? If other, how?

Feel free to list up to 10 frames from our collection. We will provide you with a wide selection of frames based on the styles you enjoy.