Appointment Request Page Don’t have enough time? Just give us a call! Call Cherry Grove 513-813-5515 Call Harrison 513-452-4945 Call Newport 859-429-8644 Call Lebanon 513-988-3404 Call West Union 937-779-4353 Call Milford 513-283-8060 Please fill in the form below to setup an appointment. If you have an eye emergency or would like to be seen urgently in the next 2 days, please call the office directly and someone will assist you.Select Location*-- Choose One --Cherry Grove OfficeHarrison OfficeNewport OfficeLebanonWest UnionMilfordReason for AppointmentPlease provide a reason for your appointment. Details are stored securely and not sent by email.Date* Time* : HH MM AM PM Please let us know when you would prefer to have your appointment. Our hours are listed on our location page.Patient Type*New patientReturning patientPlease let us know if you are a new or existing patient.Insurance Type* Medicare Medicaid Name* First Last Phone*Email* Best Time to be Reached for Confirmation* : HH MM AM PM CommentsCommentsThis field is for validation purposes and should be left unchanged.
