Appointment Scheduler

Location Preference

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Opt-in to Text Messages

By providing a telephone number and checking "Opt-in to Text Messages" you are consenting to be contacted by SMS text message (our message frequency may vary) in regard to upcoming visits, follow up and appointment notifications. Reply STOP to opt-out of further messaging. Reply HELP for more information. Message and data rates may apply. Privacy Policy: https://www.cvopto.com/privacy-policy.html?noamp Terms and Conditions: https://www.cvopto.com/terms-of-services.html?noamp

What type of visit would you like to schedule?

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Please select a provider

Do you have a provider preference?

Please select a date and time

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with

Pre-Visit Contact Lens Questions

Have you worn contact lenses before?*

Yes No

What brand or type are you currently using?

How often do you replace your lenses? (daily, biweekly, monthly)

Are you satisfied with your current lenses?

Are you comfortable learning how to insert and remove contact lenses?

Have you ever tried contacts in the past?

How often do you plan to wear contact lenses? (Daily, occasionally, just for sports/events)*

What are your primary vision needs? (Distance, near, both, wear with readers, etc.)*

What is your typical daily routine? (e.g., work environment, screen time, outdoor activity)*

Do you have any known eye issues such as dryness, allergies, or sensitivity?*

Additional Notes

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What is the main reason for this visit?

Please Enter your Insurance Information

BlueCrossBlueShield, United Healthcare, Priority Health, Aetna, etc

Do you have insurance?

Insurance

Who is the primary insured party?

Optional - upload your primary insurance card
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Do you have a secondary coverage?

If your vision insurance is not listed, please enter below

Who is the primary insured party?

Optional - upload your secondary report
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Please review then click the book button below.

10:00

1. Personal Details
- First Name:
- Last Name:
- Dob:
- Email:
- Phone:
2. Appointment details
- Reason for visit:
- Appointment time:
- Provider:
- Location:

Location Preference

Please enter your personal information

What type of visit would you like to schedule?

Please select a provider

Please select a date and time

Pre-Visit Contact Lens Questions

Additional Notes

Please Enter your Insurance Information

Almost there

1. Personal Details

2. Appointment details