Make an Appointment

Please take a moment to request an appointment and a member of our staff will be in touch with you shortly to schedule and confirm your appointment.

Contact Information
Please provide current contact information so that we can contact you to confirm your appointment.
Name*
Email*
Phone*
Texting Opt In
- I consent to receive SMS text messages from Mary Ellen Padusi, OD. Message and data rates may apply. Reply STOP to opt out.
Preferred Contact Method?
- Call
- Email
- Text
Patient Status
- New Patient
- Existing Patient
Date & Times
Please be aware that appointments must be requested at least 1 day(s) in advance. Appointment are available Tuesdays, Thursdays, and Fridays. Please note we are scheduling about a month out. If you need immediate attention, please call us directly to discuss your options.
Preferred Date*
MM slash DD slash YYYY
Alternate Date
MM slash DD slash YYYY
Time*
Will this visit be billed to insurance?*
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.