We would love to see you!

 
 

Our preferred method is to click the link below for our hipaa (Health Information portability and accountability act) compliant web form. it does require authentication, but is the same process as our patient intake form for new patients. the form At the bottom is faster, but less secure.

HIPAA Compliant request form

If you’re an existing patient, feel free to text us at 615.928.2281, email us at info@lookeastnashville.com or use our contact form.

(you could call, but This is the online scheduling page)

 
 
Legal Name *
Legal Name
Phone *
Phone
Date of Birth *
Date of Birth
Do you wear or are you interested in wearing contact lenses? *
Which below option is most accurate? *