Request An Appointment Name First Last Phone*Email What appointment type are you requesting?Cataract SurgeryComprehensive Eye ExamComprehensive Eye Exam with Contact LensesDry Eye TreatmentLASIKReading Vision SurgeryHave you worn contact lenses before?YesNoIs there anything that you would like to share with us? Location:Richmond's Near West EndDominion Eye Surgery CenterColonial HeightsHow did you hear about us?Doctor ReferralGoogleFriends or FamilyEmailFacebookPrint AdOther
