Eyes on Burdick
Select Location
Select Service & Provider
New Patient - Annual Exam
Description:
If selecting this exam type and are using insurance, please select a "Vision Insurance Plan" when filling out your patient details. Your medical insurance can only be used if you have a medical condition (dry eye, macular degeneration, cataracts, glaucoma, etc.).
If selecting this exam type and are using insurance, please select a "Vision Insurance Plan" when filling out your patient details. Your medical insurance can only be used if you have a medical condition (dry eye, macular degeneration, cataracts, glaucoma, etc.).
Established Patient - Annual Exam
Description:
If selecting this exam type and are using insurance, please select a "Vision Insurance Plan" when filling out your patient details. Your medical insurance can only be used if you have a medical condition (dry eye, macular degeneration, cataracts, glaucoma, etc.).
If selecting this exam type and are using insurance, please select a "Vision Insurance Plan" when filling out your patient details. Your medical insurance can only be used if you have a medical condition (dry eye, macular degeneration, cataracts, glaucoma, etc.).
New Patient - Contact Lens Exam
Description:
If selecting this exam type and are using insurance, please select a "Vision Insurance Plan" when filling out your patient details. Your medical insurance can only be used if you have a medical condition (dry eye, macular degeneration, cataracts, glaucoma, etc.).
If selecting this exam type and are using insurance, please select a "Vision Insurance Plan" when filling out your patient details. Your medical insurance can only be used if you have a medical condition (dry eye, macular degeneration, cataracts, glaucoma, etc.).
Established Patient - Contact Lens Exam
Description:
If selecting this exam type and are using insurance, please select a "Vision Insurance Plan" when filling out your patient details. Your medical insurance can only be used if you have a medical condition (dry eye, macular degeneration, cataracts, glaucoma, etc.).
If selecting this exam type and are using insurance, please select a "Vision Insurance Plan" when filling out your patient details. Your medical insurance can only be used if you have a medical condition (dry eye, macular degeneration, cataracts, glaucoma, etc.).
Medical Office Visit (eye injury, irritation, pain or sudden changes in vision)
Description:
If you do not see a same-day appointment available, please call our office and we will fit you in!
If you do not see a same-day appointment available, please call our office and we will fit you in!
Late Cancel
Selection Required
- Liza Stremick, O.D.
- Any Available Provider
If the reason for your appointment does not match any of the above options or you are interested in our vision therapy services, please call our office to schedule your appointment. If you have an eye injury, sudden onset of flashes or floaters, or sudden loss of vision, please call the office if you do not see an appointment available within 24 hours. This form uploads securely to our patient care database.
Select Appointment Time
If the reason for your appointment does not match any of the above options or you are interested in our vision therapy services, please call our office to schedule your appointment. If you have an eye injury, sudden onset of flashes or floaters, or sudden loss of vision, please call the office if you do not see an appointment available within 24 hours. This form uploads securely to our patient care database.
Fill In Your Information
Fields marked with * are required
Full First Name - No Nicknames or Spaces
MM/DD/YYYY
/
/
Start with area code
-
-
Confirmation and Pre-Exam instructions will be sent here
Do not close this window
Please wait... your appointment is being submitted.
Please wait... your appointment is being submitted.
Powered By ScheduleYourExam.com
Privacy Policy