Request an Appointment

At Shadyside Eye Associates, we provide the highest quality service to all our patients. Use the form below to request your appointment. Please indicate your preferred date and time. Please note that we will reach out to you first to confirm your appointment or to provide you with an alternative date. You may also call us to request an appointment. Thank you!​​​​​​​

Reason for Appointment

Preferred Date & Times *

Patient Type *

Name *

Phone *

Email *

Best Time to be Reached for Confirmation *


Vision Insurance

Medical Insurance