Sample Scheduler
Select Location
Select Service & Provider
New Patient - Comprehensive Exam
Description:
Add your own custom service description here
Add your own custom service description here
Established Patient - Comprehensive Exam
Description:
Add your own custom service description here
Add your own custom service description here
New Patient - Contact Lens Exam
Description:
Add your own custom service description here
Add your own custom service description here
Established Patient - Contact Lens Exam
Description:
Add your own custom service description here
Add your own custom service description here
Medical Office Visit
Description:
Red Eye, Eye Pain, Floaters, etc.
Red Eye, Eye Pain, Floaters, etc.
Eyewear Pick Up
Eyewear Fitting
Visual Field
Description:
Please Call our office to schedule this appointment
Please Call our office to schedule this appointment
Contact Lens Follow-Up
Description:
Please call to schedule this appointment type
Please call to schedule this appointment type
Selection Required
- Test Test
- Optical
- Dr. John Wick
- Dr. John Smith
- Dr. Jack Ryan
- Dr. Jane Doe
- Dr. Bugs Bunny
- Dr. James Bond
- Any Available Provider
This area can be fully customized to convey information patients would need to know while scheduling.
HTML coding can be used to make text stand out more. You can make font Bold, different colors, BIGGER, etc.
For Example: If you do not see an available appointment, please call our office at XXX-XXX-XXXX.
Select Appointment Time
This area can be fully customized to convey information patients would need to know while scheduling.
HTML coding can be used to make text stand out more. You can make font Bold, different colors, BIGGER, etc.
For Example: If you do not see an available appointment, please call our office at XXX-XXX-XXXX.
Fill In Your Information
Fields marked with * are required
Full First Name - No Nicknames or Spaces
MM/DD/YYYY
/
/
Start with area code
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Confirmation and Pre-Exam instructions will be sent here
**This area can be customized to convey important information to the patient regarding insurances.**
All insurances listed below can also be customized, as well as, the required fields for each insurance. Customization also includes the ability to separate the insurances by Medical vs. Vision (as seen in the example below). If you only accept one type of insurance, you have the option to only display one dropdown, instead of two separate drop down options.
Do not close this window
Please wait... your appointment is being submitted.
Please wait... your appointment is being submitted.
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