{"id":83,"date":"2020-07-31T17:20:53","date_gmt":"2020-07-31T17:20:53","guid":{"rendered":"https:\/\/lewisvilleeyes.com\/?page_id=83"},"modified":"2021-12-27T18:54:29","modified_gmt":"2021-12-27T18:54:29","slug":"appointments","status":"publish","type":"page","link":"https:\/\/lewisvilleeyes.com\/?page_id=83","title":{"rendered":"Appointments"},"content":{"rendered":"\n<p>You can request an appointment in person, by phone call, by texting to <strong><span class=\"has-inline-color has-primary-color\">(469) 549-0987<\/span><\/strong>, emailing us at <strong><span class=\"has-inline-color has-primary-color\">info@LewisvilleEyes.com<\/span><\/strong>, or by completing the form below.\u00a0 Please have the patient\u2019s name, date of birth, and insurance card (if any) readily available.\u00a0\u00a0We look forward to hearing from you!<\/p>\n\n\n\n<p>Please note, your appointment is not scheduled until you receive an appointment confirmation from our office. <strong>If we do not contact you within 24 hours, please call us for immediate assistance.<\/strong><\/p>\n\n\n<div class=\"wpforms-container wpforms-container-full wpforms-block\" id=\"wpforms-287\"><form id=\"wpforms-form-287\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"287\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F83\" data-token=\"d2b53c7e5d880f3124e8004bca5a91f1\" data-token-time=\"1777391652\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-287-field_0-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"0\"><label class=\"wpforms-field-label\">Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-287-field_0\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][0][first]\" required><label for=\"wpforms-287-field_0\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-287-field_0-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][0][last]\" required><label for=\"wpforms-287-field_0-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-287-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-287-field_4\">Date of Birth (mm\/dd\/yyyy) <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-287-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" required><\/div><div id=\"wpforms-287-field_6-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-287-field_6\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-287-field_6\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][6]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-287-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-287-field_7\">Phone Number (with area code) <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-287-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" required><\/div><div id=\"wpforms-287-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-287-field_8\">Address (street, apt #, city, state, zip code) <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-287-field_8\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][8]\" required><\/div><div id=\"wpforms-287-field_9-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"9\"><label class=\"wpforms-field-label\">Patient Type <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-287-field_9\" class=\"wpforms-field-required wpforms-image-choices wpforms-image-choices-modern\"><li class=\"choice-1 depth-1 wpforms-image-choices-item\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-287-field_9_1\" tabindex=\"0\"><span class=\"wpforms-image-choices-image\"><\/span><input type=\"radio\" id=\"wpforms-287-field_9_1\" class=\"wpforms-screen-reader-element\" name=\"wpforms[fields][9]\" value=\"New Patient\" tabindex=\"-1\" required ><span class=\"wpforms-image-choices-label\">New Patient<\/span><\/label><\/li><li class=\"choice-2 depth-1 wpforms-image-choices-item\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-287-field_9_2\" tabindex=\"0\"><span class=\"wpforms-image-choices-image\"><\/span><input type=\"radio\" id=\"wpforms-287-field_9_2\" class=\"wpforms-screen-reader-element\" name=\"wpforms[fields][9]\" value=\"Existing Patient\" tabindex=\"-1\" required ><span class=\"wpforms-image-choices-label\">Existing Patient<\/span><\/label><\/li><\/ul><\/div><div id=\"wpforms-287-field_10-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"10\"><label class=\"wpforms-field-label\">Payment Type <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-287-field_10\" class=\"wpforms-field-required wpforms-image-choices wpforms-image-choices-modern\"><li class=\"choice-1 depth-1 wpforms-image-choices-item\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-287-field_10_1\" tabindex=\"0\"><span class=\"wpforms-image-choices-image\"><\/span><input type=\"radio\" id=\"wpforms-287-field_10_1\" class=\"wpforms-screen-reader-element\" name=\"wpforms[fields][10]\" value=\"Private Pay\" tabindex=\"-1\" required ><span class=\"wpforms-image-choices-label\">Private Pay<\/span><\/label><\/li><li class=\"choice-2 depth-1 wpforms-image-choices-item\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-287-field_10_2\" tabindex=\"0\"><span class=\"wpforms-image-choices-image\"><\/span><input type=\"radio\" id=\"wpforms-287-field_10_2\" class=\"wpforms-screen-reader-element\" name=\"wpforms[fields][10]\" value=\"Vision Insurance\" tabindex=\"-1\" required ><span class=\"wpforms-image-choices-label\">Vision Insurance<\/span><\/label><\/li><li class=\"choice-3 depth-1 wpforms-image-choices-item\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-287-field_10_3\" tabindex=\"0\"><span class=\"wpforms-image-choices-image\"><\/span><input type=\"radio\" id=\"wpforms-287-field_10_3\" class=\"wpforms-screen-reader-element\" name=\"wpforms[fields][10]\" value=\"Medical Insurance\" tabindex=\"-1\" required ><span class=\"wpforms-image-choices-label\">Medical Insurance<\/span><\/label><\/li><\/ul><\/div><div id=\"wpforms-287-field_11-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-287-field_11\">Vision Insurance Provider (if applicable)<\/label><input type=\"text\" id=\"wpforms-287-field_11\" class=\"wpforms-field-medium\" name=\"wpforms[fields][11]\" ><\/div><div id=\"wpforms-287-field_12-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-287-field_12\">Medical Insurance Provider (if applicable)<\/label><input type=\"text\" id=\"wpforms-287-field_12\" class=\"wpforms-field-medium\" name=\"wpforms[fields][12]\" ><\/div><div id=\"wpforms-287-field_15-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-inline\" data-field-id=\"15\"><label class=\"wpforms-field-label\">Eye Exam Type <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-287-field_15\" class=\"wpforms-field-required wpforms-image-choices wpforms-image-choices-modern\"><li class=\"choice-1 depth-1 wpforms-image-choices-item\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-287-field_15_1\" tabindex=\"0\"><span class=\"wpforms-image-choices-image\"><\/span><input type=\"checkbox\" id=\"wpforms-287-field_15_1\" class=\"wpforms-screen-reader-element\" name=\"wpforms[fields][15][]\" value=\"Regular Eye Exam\" tabindex=\"-1\" required ><span class=\"wpforms-image-choices-label\">Regular Eye Exam<\/span><\/label><\/li><li class=\"choice-2 depth-1 wpforms-image-choices-item\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-287-field_15_2\" tabindex=\"0\"><span class=\"wpforms-image-choices-image\"><\/span><input type=\"checkbox\" id=\"wpforms-287-field_15_2\" class=\"wpforms-screen-reader-element\" name=\"wpforms[fields][15][]\" value=\"Contact Lens Exam\" tabindex=\"-1\" required ><span class=\"wpforms-image-choices-label\">Contact Lens Exam<\/span><\/label><\/li><li class=\"choice-3 depth-1 wpforms-image-choices-item\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-287-field_15_3\" tabindex=\"0\"><span class=\"wpforms-image-choices-image\"><\/span><input type=\"checkbox\" id=\"wpforms-287-field_15_3\" class=\"wpforms-screen-reader-element\" name=\"wpforms[fields][15][]\" value=\"Other\" tabindex=\"-1\" required ><span class=\"wpforms-image-choices-label\">Other<\/span><\/label><\/li><\/ul><\/div><div id=\"wpforms-287-field_14-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"14\"><label class=\"wpforms-field-label\">Language Preference <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-287-field_14\" class=\"wpforms-field-required wpforms-image-choices wpforms-image-choices-modern\"><li class=\"choice-1 depth-1 wpforms-image-choices-item wpforms-selected\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-287-field_14_1\" tabindex=\"0\"><span class=\"wpforms-image-choices-image\"><\/span><input type=\"radio\" id=\"wpforms-287-field_14_1\" class=\"wpforms-screen-reader-element\" name=\"wpforms[fields][14]\" value=\"English\" tabindex=\"-1\" required  checked='checked'><span class=\"wpforms-image-choices-label\">English<\/span><\/label><\/li><li class=\"choice-2 depth-1 wpforms-image-choices-item\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-287-field_14_2\" tabindex=\"0\"><span class=\"wpforms-image-choices-image\"><\/span><input type=\"radio\" id=\"wpforms-287-field_14_2\" class=\"wpforms-screen-reader-element\" name=\"wpforms[fields][14]\" value=\"Spanish\" tabindex=\"-1\" required ><span class=\"wpforms-image-choices-label\">Spanish<\/span><\/label><\/li><\/ul><\/div><div id=\"wpforms-287-field_20-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-287-field_20\">Requested Appt. Date (mm\/dd\/yyyy) <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-287-field_20\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][20]\" required><\/div><div id=\"wpforms-287-field_21-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-inline\" data-field-id=\"21\"><label class=\"wpforms-field-label\">Requested Appt. Time <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-287-field_21\" class=\"wpforms-field-required wpforms-image-choices wpforms-image-choices-modern\"><li class=\"choice-1 depth-1 wpforms-image-choices-item\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-287-field_21_1\" tabindex=\"0\"><span class=\"wpforms-image-choices-image\"><\/span><input type=\"checkbox\" id=\"wpforms-287-field_21_1\" class=\"wpforms-screen-reader-element\" name=\"wpforms[fields][21][]\" value=\"Morning (before noon)\" tabindex=\"-1\" required ><span class=\"wpforms-image-choices-label\">Morning (before noon)<\/span><\/label><\/li><li class=\"choice-2 depth-1 wpforms-image-choices-item\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-287-field_21_2\" tabindex=\"0\"><span class=\"wpforms-image-choices-image\"><\/span><input type=\"checkbox\" id=\"wpforms-287-field_21_2\" class=\"wpforms-screen-reader-element\" name=\"wpforms[fields][21][]\" value=\"Afternoon (after 2pm)\" tabindex=\"-1\" required ><span class=\"wpforms-image-choices-label\">Afternoon (after 2pm)<\/span><\/label><\/li><\/ul><\/div><div id=\"wpforms-287-field_22-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"22\"><label class=\"wpforms-field-label\">Best contact method <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-287-field_22\" class=\"wpforms-field-required wpforms-image-choices wpforms-image-choices-modern\"><li class=\"choice-1 depth-1 wpforms-image-choices-item\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-287-field_22_1\" tabindex=\"0\"><span class=\"wpforms-image-choices-image\"><\/span><input type=\"radio\" id=\"wpforms-287-field_22_1\" class=\"wpforms-screen-reader-element\" name=\"wpforms[fields][22]\" value=\"Call\" tabindex=\"-1\" required ><span class=\"wpforms-image-choices-label\">Call<\/span><\/label><\/li><li class=\"choice-2 depth-1 wpforms-image-choices-item\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-287-field_22_2\" tabindex=\"0\"><span class=\"wpforms-image-choices-image\"><\/span><input type=\"radio\" id=\"wpforms-287-field_22_2\" class=\"wpforms-screen-reader-element\" name=\"wpforms[fields][22]\" value=\"Text\" tabindex=\"-1\" required ><span class=\"wpforms-image-choices-label\">Text<\/span><\/label><\/li><li class=\"choice-3 depth-1 wpforms-image-choices-item\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-287-field_22_3\" tabindex=\"0\"><span class=\"wpforms-image-choices-image\"><\/span><input type=\"radio\" id=\"wpforms-287-field_22_3\" class=\"wpforms-screen-reader-element\" name=\"wpforms[fields][22]\" value=\"Email\" tabindex=\"-1\" required ><span class=\"wpforms-image-choices-label\">Email<\/span><\/label><\/li><\/ul><\/div><div id=\"wpforms-287-field_23-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-287-field_23\">Notes or Additional Information<\/label><input type=\"text\" id=\"wpforms-287-field_23\" class=\"wpforms-field-medium\" name=\"wpforms[fields][23]\" ><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"287\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/lewisvilleeyes.com\/index.php?rest_route=\/wp\/v2\/pages\/83\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-287\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/lewisvilleeyes.com\/wp-content\/plugins\/wpforms-lite\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\n\n\n<p><\/p>\n\n\n<p><span id=\"siteseal\"><script async=\"\" type=\"text\/javascript\" src=\"https:\/\/seal.godaddy.com\/getSeal?sealID=KGV0E3cyuRS90plg1KfNcyCgrxNRPlDRzghd54jGR5jitUtiK44ttgUCO3Qn\"><\/script><\/span><\/p>","protected":false},"excerpt":{"rendered":"<p>You can request an appointment in person, by phone call, by texting to (469) 549-0987, emailing us at info@LewisvilleEyes.com, or by completing the form below.\u00a0 Please have the patient\u2019s name, date of birth, and insurance card (if any) readily available.\u00a0\u00a0We look forward to hearing from you! Please note, your appointment is not scheduled until you [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","hide_page_title":"","footnotes":""},"class_list":["post-83","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/lewisvilleeyes.com\/index.php?rest_route=\/wp\/v2\/pages\/83","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/lewisvilleeyes.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/lewisvilleeyes.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/lewisvilleeyes.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/lewisvilleeyes.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=83"}],"version-history":[{"count":15,"href":"https:\/\/lewisvilleeyes.com\/index.php?rest_route=\/wp\/v2\/pages\/83\/revisions"}],"predecessor-version":[{"id":301,"href":"https:\/\/lewisvilleeyes.com\/index.php?rest_route=\/wp\/v2\/pages\/83\/revisions\/301"}],"wp:attachment":[{"href":"https:\/\/lewisvilleeyes.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=83"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}