(209) 951-0820

Appointment Request

Please provide the following information to request an appointment with one of our doctors. Our staff will be in touch shortly to confirm your appointment time.

Please let us know your name.
Please let us know your email address.
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input

Basic Patient Information

Providing this information now will save time when you arrive for your appointment!

Invalid Input
Invalid Input
Please note that Brookside Optometric Group does not currently accept any HMO coverage plans.
Invalid Input
Invalid Input
Invalid Input
Invalid Input
This does not appear to be a valid US ZIP code