Request an Appointment

* Indicates required field

Patient Name *

First

Last

Phone Number *

Name of Insurance (Please select your vision insurance or if you are unsure, select other. [Please note: UCR students in undergraduate and graduate programs should select EYEMED]) *

Email *

We will do our best to schedule you into our office at the desired date/time, we suggest you make your appointment in advance especially if you are looking for a weekend appointment. Thank you!

Preferred Appointment Date/Time *

Submit

Thank you for choosing Eye-C-You Optometry! After submitting, we will contact your shortly to schedule your appointment. We look forward to seeing you soon!