Appointment Request Form

Name: Ada Vision Center
Address: 230 W Mallard Drive, Suite A, Boise, ID, 83706, US
Telephone: 208-488-4148
Price range: $000 - $300

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.
Doctor*
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
Date of Birth*
Insurance Provider*
Phone*
Email*
Comments
Email
This field is for validation purposes and should be left unchanged.

Per CDC recommendation, Ada Vision Center will be open for emergency services only from Monday, March 30th through Friday, April 10th. Our modified hours will be from 10 am to 2 pm Monday through Friday (208) 336-2020. If this is an after-hours emergency, please call (208) 631-1868.

Appointment Request Form

Ada Vision Center Downtown

Ada Vision Center East