PVC Website Appointment Request

Ready to Schedule Your Appointment?
We are thrilled to announce that we have a new online scheduler available to schedule your eye exam, where you can view our openings in real time and pick a time that works best for you!

To get started, please click on this link: https://professionalvisioncare.vsappointments.com/
Patient's Name*

First NameLast Name
Address*
Parent/Guardian's Name (if applicable)

First NameLast Name
What type of appointment did you want to schedule?*

Eye exam-existing patientEye exam-new patient (welcome!)Other
Is there a specific doctor, date, or time that you would like us to look for?
Which location would you like to schedule your appointment at?*

Westerville office: 185 South State StreetThe Solution Center (pediatric office): 937 Polaris Woods BlvdJohnstown Office: 39 South Main StreetLewis Center office (in the Mount Carmel Fitness Center): 7100 Graphics Way
How would you like us to contact you to schedule this appointment?*

TextEmailPhone call
Email*
example@example.com
Phone Number*
If you would selected "Text Me," please provide a cell phone number that can receive text messages.
Date of Birth*

MonthDayYear
Date
Gender
Insurance Type (If self pay type "cash") *
If you have a vision insurance, please list the name and date of birth of the primary insurance cardholder, so we can ensure everything is ready for your appointment.
Should be Empty:

Ready to Schedule Your Appointment?