Appointment Request Form Call a Location Schedule Appointment NOTE: If you are a new patient, please also fill out the New Patient Information Form here. Request An Appointment "*" indicates required fields PhoneThis field is for validation purposes and should be left unchanged.First Name*Last Name*Phone*Email* Patient Type*New PatientReturning PatientAppointment InformationPlease provide your appointment preferences below. Please note, your appointment is not finalized until a member of our team has reached out to confirm your appointment details directly. Choose a Location*ClintonLee's SummitSedaliaWarrensburgBelton (Innovative Vision Care)Schedule Now at Sedalia You can now schedule your appointment at our Sedalia location online. Click the link below to see available appointments with our team. Schedule Appointment At SedaliaSchedule Now at Warrensburg You can now schedule your appointment at our Warrensburg location online. Click the link below to see available appointments with our team. Schedule Appointment At WarrensburgSchedule Now at Lee’s Summit You can now schedule your appointment at our Lee’s Summit location online. Click the link below to see available appointments with our team. Schedule Appointment At Lee’s SummitAppointment InformationType of ExamRoutine Vision ExamContact Lens ExamMedical Emergency / Follow UpPreferred Doctor*No PreferenceDr. Jason LakeDr. Susan LakeDr. Brett LiesemeyerDr. Kyle JohnsonDr. Jill McNaughtonDr. David OrsonDr. Andrew YeagerDr. Katelyn HardyDr. John DrenonDr. David BaldwinDr. Aaron LawDr. John GelvinDr. Kelsey StarmanAppointment Time*No PreferenceMorning AppointmentAfternoon AppointmentEvening AppointmentAppointment Date* MM slash DD slash YYYY Insurance PlanQuestions & CommentsNo Show Appointments & Late Cancellations: Appointments cancelled less than 24 hours in advance and no-show appointments will be subject to a $50 fee; this fee will not be covered by your insurance company. Testimonials
