Appointment Request Form

Vision Insurance/ Insurance (if any):
Insurance Number:
I would like an appointment with:

Please select up to 3 appointment dates / times.
If you can't find a convenient appointment time, please call our office

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Please Note: The requested appointment time(s) may no longer be available. We will contact you to confirm your actual appointment date and time.

Practice Photo
  • Winter Park Vision Specialists

    James Podschun, O.D. F.A.A.O
    Marguerite Ball-Thomas, O.D. F.A.A.O

    1935 State Road 436
    Suite 1001
    Winter Park, FL 32792