Appointment Request Form

Fields marked with an asterisk (*) are required.

* First Name
* Last Name
* Phone Number
E-mail address
Preferred day & time for your appointment

Please allow up to 48 hours for your request to be processed. It is very important for you to include your telephone number so a Sarasota Cataract & Laser Institute representative can contact you.

For emergency appointments, call the office directly: 941.921.7744

Please note that there are no guarantees that you will get an appointment on the day and time you select. Please keep in mind that we will do our best to accommodate your requests.

If You Are A New Patient, Have You Registered?

As a time saving convenience, we are offering an on-line patient registration service FOR NEW PATIENTS ONLY. If you are a former patient of Sarasota Cataract & Laser Institute, you do not need to re-register on-line.

There are two short forms thet can be completed by you prior to your visit, allowing more time to efficiently produce and obtain information for your initial visit. Both forms are on a highly-secured, encrypted page, ensuring professional privacy.

Click here to access our on-line forms.


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Site developed by Stephen A. Smith & Associates.