AppointmentsPlease use this form for general information purposes only. DO NOT send personal health information through this form. Specific patient care must be addressed during your appointment.Please complete the following form to request an appointment. Please also note that availability will vary depending on your request. Your appointment will be confirmed by phone by a member of our staff. Thank you!DoctorNo PreferenceDr. Xu LiReason for AppointmentVisit TypeRoutine eye examRoutine eye exam and Contact lenses evaluationOffice Visit for Medical Reasons (eye disease)OrthoK Consultation ( Myopia Management)Lasik ConsultationOthersPrefered Date & Times1st preferred date & time2nd preferred date & time3rd preferred date & time Please let us know the times that you are available for an appointment. Our hours are listed on our contact page or below this form.Patient Type*New PatientReturning PatientName First Last Phone*Email* Best Time to be Reached for Confirmation* : HH MM AMPM CommentsCAPTCHAEmailThis field is for validation purposes and should be left unchanged.