REQUEST AN APPOINTMENT Simply complete the form below and an administrator will contact you to set your appointment. Name* First Name Last Name Email* Phone* Phone Type*Select Mobile Home Office For Maui office please call for an appointment. 808-871-1411 Choose Location* Honolulu Choose Type of Service*Select Type Comlimentary LASIK/PRK Consultation Cataract Evaluation Corneal Evaluation Dry Eye Evaluation Routine Eye Exam Contact Lens Exam Optical Services Cosmetic Services (Botox/Latisse) Other (Please describe below) Select Preferred Days* Monday Tuesday Wednesday Thursday Friday Saturday Select Preferred Times* Early Morning Mid-Morning Early Afternoon Late Afternoon Message Notes Name This field is for validation purposes and should be left unchanged. Δ