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
  • Wheatlyn EyeCare

    James P. Tuttle, O.D.
    Leslie E. O'Dell, O.D.
    Andrew L. Leitzel, O.D.
    Christine M. Weld, O.D.

    234 Rosedale Drive
    Manchester, PA 17345