DuPage Eye Center
Downers Grove, IL 630-963-3937
Lemont, IL 630-257-1117

Appointment Request

The first step towards better vision is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Please do not use this form to cancel or change an existing appointment.  Please allow 24-48 hours for a response.  You can always call the office at 630-963-3937.

If you are having a medical emergency, call 911.
*Items in bold are required.
Are you a current patient?


Which office location(s) would you prefer for your appointment?


Preferred day(s) of the week for an appointment?

Preferred time(s) for an appointment?

Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.