Lake Stevens Vision Clinic, Inc. is pleased to serve patients in the greater Snohomish County area including the cities of: Lake Stevens, Everett, Marysville, Granite Falls, Arlington, Tulalip, Snohomish, Smokey Point and Clearview.

Make An Appointment Online

*This is an Eye Exam REQUEST Form for an eye exam appointment and not an appointment book. The dates & times you select may not be available until we call you to confirm your appointment request at Lake Stevens Vision Clinic. Please expect a 24 hour turnaround time to respond to online appointment requests submitted on Monday – Thursday. Online appointment requests submitted on Fridays will be responded to the following Monday.

* First Name
* Last Name
Birth Date	Year Month Date
Age	Computed Value
Address
City, State, Zip
* Phone
Email
Exam Type	--] Select an Exam Type [-- General Eye Exam Contact Lens Exam
Patient Status	--] New or Existing Patient [-- New Patient Existing Patient
Doctor's Name	--] Select a Doctor [-- Dr. Rodney Windhorst, OD Dr. Brian Coe, OD
* Date
* Time	--] Select a Time [--
Note
	* Required Fields