Request an Appointment

Request an Appointment
In addition to the online appointment request form below, you can also call Emerald Coast Eye Care at (850) 215-9101 to schedule your appointment. If you reach voicemail, PLEASE LEAVE A MESSAGE, so we can return your call as soon as possible.

If you choose to email or use the fields below to contact us, please know that it may take up to 5 business days to hear back from our office. Please call for a quicker response. We look forward to hearing from you.

Contact Information
Please provide your current contact information so that we can contact you to schedule your appointment. A requested date and/or time does not guarantee an appointment. Someone from our office will call you to schedule the appointment.

Dates & Times
Please be aware that appointments must be requested at least 1 day(s) in advance.

Important:
Please note that the date and time you requested may not be available. We will contact you via a phone call to schedule your actual appointment.