Get Started - Eyeris

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Email Address*

Phone**

*For doctor contact & SMS updates on your appt. Standard TXT rates may apply

Zip Code*

How far are you willing to travel?*

So, when do you want to see a doctor?*

What time?*

Select your reason for the visit*

Medical/Vision Insurance Information

Just Basic Carrier Information

We only want to send you to a Doctor that takes your insurance. If you are prepared to use of Out Of Network, please select Cash/OON

MEDICAL*

SELECT ALL THAT APPLY

VISION*

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*Selecting this means that you will pay at the time of the appointment and/or if OON, will contact your insurance for reimbursement