Need an exam?

Thank you for choosing Henry Ford OptimEyes!  We value your privacy and confidentiality - your personal information will only be used to schedule an appointment, and will never be sold to another company.

After completing this form, our team will follow up within one business day to schedule an appointment that meets your needs. Please note, this form is not for urgent appointments. If an appointment is urgently needed, call 1-800-EYE-CARE (1-800-393-2273). If this is an emergency, call 911 or go to your local emergency room.

*Asterisk indicates a required field.

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Special Assistance
American Sign Language Interpreter?


Wheelchair Accessibility?