(888) 627-1296
  • Make a Payment
  • Directions
Request an Appointment

Columbus Eye Surgery CenterColumbus Eye Surgery Center

  • For Patients
    • Keeping You Safe During COVID-19
    • About Your Surgery
    • Patient Forms
    • Insurance and Billing
    • CareCredit
    • Financial
    • Cataract Q&A
    • Request an Appointment
  • Physicians
  • Our Procedures
  • Conditions
  • About Us

Request an Appointment

To request an appointment with one of our surgeons, fill out the form below and click “Send Request”. The doctor’s office will contact you to schedule an appointment.

Please note: This request form is not intended as a tool for reporting a medical emergency or medical problem. It will not go to a physician and is only monitored during normal business hours. If you have critical or timely information, please contact a physician directly. If you have a medical emergency, please call 911.

"*" indicates required fields

  • Contact Us
  • Notice of Nondiscrimination
  • Notice of Privacy Practices
  • Terms of Service
  • Internet Privacy Policy
  • Billing Disclosure

Columbus Eye Surgery Center
5965 East Broad St., Suite 460,
Columbus, OH 43213

© 2023 Columbus Eye Surgery Center