Appointment Request Form

If this is an emergency, do not contact us via email, please use our emergency contact information.

Texas State Optical has taken pride in caring for the eyes of Corpus Christi for over 15 years. When you schedule an appointment with this office we take time to ensure you experience the highest quality of care. In order to provide you with such care, a cancellation policy has been set in place to better help us serve you and others waiting for an appointment. 24 hours notice Appointment Cancellation / No Show Policy $ 30.00 Fee.

To request your next appointment, please complete the form below and let us know the most convenient time and date for you. Please don’t forget to include accurate contact details so we can follow up with you to finalize your request.

Please fill in the form below to setup an appointment.
Reason for Appointment
Please provide a reason for your appointment. Details are stored securely and not sent by email.
Preferred Date & Times*
Please let us know when you would prefer to have your appointment. Our hours are listed on our location page.
Patient Type*
- New patient
- Returning patient
Please let us know if you are a new or existing patient.
Name*
First Last
Phone*
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Best Time to be Reached for Confirmation*

: Hours

Minutes

AM/PM
Comments
Comments
This field is for validation purposes and should be left unchanged.

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