Request an Appointment

Join our Binyon community!

You may call our office to schedule your next appointment or use the form below to send us questions or specific requests and we will do our best to contact you as soon as possible.

If you need more immediate attention, please call or text (206) 244-1780.

Please bring the following with you to your appointment:

Your most updated pair of glasses
Your contact lenses and contact lens prescription (boxes or blister packs work too!)
a list of any medications you are taking
Click this link to fill out your paperwork before your appointment.

Contact Information
Please provide current contact information so that we can contact you to confirm your appointment.
Name*
Phone*
Email*
Patient Status
- New Patient
- Existing Patient
Date & Times
Please be aware that appointments must be requested at least 1 day(s) in advance.
Preferred Date*
MM slash DD slash YYYY
Alternate Date
MM slash DD slash YYYY
Time*
Name Of Medical Insurance Provider
Name Of Vision Insurance Provider
Comments
Important: Please note that the date and time you requested may not be available. We will contact you to confirm your actual appointment details.
I allow Binyon Vision Center to contact me through text messages.*
- Yes

Request an Appointment

Join our Binyon community!

If you need more immediate attention, please call or text (206) 244-1780.

Contact Information

Date & Times