Discover Vision Centers | Request an Appointment

To schedule an appointment at Discover Vision Centers, please fill in the necessary information below. We will contact you by close of the next business day to verify your appointment details. If you have any questions, please feel free to call 816.478.1230 to speak with our call center specialists.

Call Center Hours:
Mon - Thurs 7am to 7pm
Friday 7am to 5:30pm
Saturday 8am to Noon

This form is for NON-URGENT APPOINTMENTS ONLY. If you have an urgent medical problem please call the office direct at 816.478.1230. If you have an emergency, call 911 immediately or go to your nearest emergency room. We do not respond to emergencies through this web site.

Personal Information (*Required)

*First Name	*Last Name:
Address	City
State	Zip
*Home Phone	*Work Phone
*Email
Best contact method	New Patient?	Yes No
*Date of Birth

Appointment Preferences

*Office Location
Ideal appointment date	2007
Time
*Type of Appointment
*if "other" please explain
*What type of corrective lenses do you use?

Insurance or Vision Plan Information

Completing the information below will allow us to verify your insurance benefits before we contact you, which speeds up the appointment-making process.
Insurance Company
Subscriber/Member ID
Insurance Phone