Please complete the form to request a consultation appointment. Your information will be securely submitted through a HIPAA-compliant portal. A patient care representative will contact you within 24 business hours to confirm your appointment.
By submitting this form, you consent to being contacted by Netra Eye Institute via your preferred method of communication (phone or text). Unless you choose to opt into a marketing program in the future, we will only send messages related to your inquiry and appointment reminders.