Co Eyecare Associates & Surgery Center

New Patients - Please complete the form below. Please fill out ALL fields. This will help to reduce the waiting time at the office. Without proper insurance verification, the wait time could be up to 1 hour.

Please read the following disclosrues.

HIPPA and Financial Disclosure

HIPPA Brochure

Established patients - Please fill in the name, phone number and email. Please tell us the time and date you want and we will do our best to find the best time available. If your insurance or address had been changed; please kindly fill in the form.