Specialty Lens Consultation Inquiry

Name *

First

Last

Date of Birth

Phone *

Email *

Diagnosis: (pick an option below)

Other Diagnosis Description (from above)

Have you ever tried scleral lenses before?

Have you worn hard or soft contacts in the past?

Medical Insurance

Vision Insurance

Comment or Message *

Hours
Mon 9:00am – 7:00pm
Tues 9:00am – 6:00pm
Wed 9:00am – 5:00pm
Thurs 9:00am – 5:00pm
Fri 9:00am – 12:00pm

Same Day Appointments

FAMILY VISION OPTICAL
6101 Lake Michigan Dr.
Ste. B-700
Allendale, MI 49401

Phone: (616) 219-8153

What Our Patients Say