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
.
  • Overlake Family Vision

    Mary Baker, O.D.

    1951 - 152nd Pl. NE
    Suite 100
    Bellevue, WA 98007

    425-638-0700