Request an appointment

Let's get you seen.

Send a request and our team will call you to confirm your visit. Prefer to talk? Call or text us directly.

Thank you — your request is in. A member of our team will call you to confirm your appointment. Your reference number is . For anything urgent, please call (559) 449-5050.

This form needs JavaScript. Please call us at (559) 449-5050 and we'll get you scheduled.

* Required

First Name *

Last Name *

Date of Birth *

Sex *

Phone *

Email *

Reason for Visit *

Preferred Doctor (optional)

Best Time (optional)

Insurance (optional)

Anything else? (optional)

How did you find us? (optional)

A request doesn't book an appointment. Our team will call you to confirm a time. Please don't include medical history here; we'll go over that together. For a medical emergency, call 911.

Encrypted and sent only to InSight Vision Center, never to a third-party form service. Notice of Privacy Practices