New Patients

At Salomon Eye Care, we value your time. In an effort to save you time in our office, we have provided some of our intake forms. Please feel free to print and complete any of the following forms applicable to your visit.

If you have any questions, feel free to contact us for more information.

Request an Appointment

"*" indicates required fields

Would you prefer to be contacted by email or phone to schedule your appointment?
MM slash DD slash YYYY
Please note: This is a request form only. This does not schedule an appointment. A member of our team will contact you to confirm an actual date and time.
This field is for validation purposes and should be left unchanged.