Request An Appointment
Creating a brighter tomorrow.

Need to request an appointment?

Get started below with our easy-to-use patient forms.

New Patients Continue to Step 2

STEP 1

Appointment Request

Name(Required)
Are you a current patient?(Required)
Please select the best days for your availability. we will attempt to schedule your appointment accordingly.(Required)
Preferred physician?(Required)
Nature of appointment(Required)

STEP 2

Are You A New Patient?

To be completed by new patients only. Existing patients skip to Step 3

New patients can either fill out the intake form online or download the form below and bring it with you to your appointment. 

Download New Patient Form
Fill Out Form Online
STEP 3

HIPAA Privacy Act

This document is to inform you of your protections under the HIPAA Privacy Act. You do not need to bring this document to your appointment. 

Download HIPAA Privacy Act Form

Ophthalmologist in Dothan, AL. Dothan Eye Care is your trusted eye care center serving patients near Enterprise.

Site Map
Contact Info
  • 1450 Ross Clark Cir ste 100 Dothan, AL 36301
  • droney@dothanvision.com
  • (334) 479-0043
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