Web Site Request an Appointment One of our staff members will call you within 48 hours. Note: If request is made on Friday, Saturday or Sunday it will not be viewed by our office staff until Monday. Patient Name * Email Address * Date of Birth Best Daytime Phone * Do you prefer a specific Doctor? Please Select One William J. Burchfield, M.D. David K. Harper, M.D. Kurt K. Lark, M.D. Gary T. Raflo, M.D., FACS Sandra M. Brown, M.D. Claxton A. Baer, M.D., PhD Randall K. Thomas, O.D., FAAQ David J. Hasson, Jr., O.D. Jason P. Handler, M.D. No Preference Appointment Type: Routine Eye Exam Driver's License Form Diabetic Yearly Exam Cataract Evaluation Follow Up Appointment for a Specific Problem Other (please explain below) Other Appointment Type Day of Week Time of Day 8-10 a.m. 10-11:30 a.m. 12:45-2 p.m. 2-3:45 p.m. Please prove you are a human :) *
