1806 North 4th Street Murray, KY 42071 | Tel:(270) 573-9854

What is the reason for this visit?

Please choose one

Please enter your personal information

All fields are required

To book an appointment,
please select a provider.

Please select a date and time

All fields are required

space available

Additional Notes


Please Enter your Medical Insurance Information

BlueCrossBlueShield, United Healthcare, Cigna, Aetna, etc

Enter your medical insurance plan

Please Enter Your Vision Insurance Information

Medical insurances typically outsource vision to a group such as VSP, Eyemed, Spectera, Superior, etc.

Enter your vision insurance if any

Review and Submit

Please review then click submit.

  • 1. Personal Details
    • :
    • :
    • :
    • :
    • :
  • 2. Appointment details
    • :
    • :
    • :