Appointments - South Bay Ophthalmology

Request an Appointment

At South Bay Ophthalmology, we look forward to your visit. Proudly serving the greater San Jose, CA area, we have schedules tailored for your convenience.

To schedule an eye exam or other appointment, please call us at (408) 358-5300, otherwise request an appointment below.

Please do not use this form if you have an urgent eye/medical problem or to re-schedule an existing appointment.

For general inquiries, please use our contact form.

Appointment Request Form

Non-Urgent Appointments Only

Name*
First Name Last Name
Phone Number*
Phone Type*
Email Address*
Appointment Type*
Preferred Appointment Days*
- Select All
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
Preferred Time of Day*
Who Referred You?*
Disclaimer: If you register, make an appointment or submit any other information online, all your information is held in the strictest confidence.
CAPTCHA
Phone
This field is for validation purposes and should be left unchanged.

Request an Appointment

Appointment Request Form

Non-Urgent Appointments Only

Eye News

Patient Resources