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

Enter Letters Shown

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
  • Cascade Vision Center

    Jeff Binstock, OD, DVM
    Benjamin Crowell, OD, FAAO
    Jason Sifrit, OD, FAAO

    4300 Talbot Road S.
    Suite 400
    Renton, WA 98055