Appointment Request Form

Name: Complete Vision Care
Address: 600 Westwood Drive South, Festus, MO, 63028, US
Telephone: 636-931-2020

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.
Location*
- Festus M,T,F 9-5 (600 Westwood Dr, 63208)
- Leadington M 8:30-6 & T-F 8:30-5 (200 E Woodlawn Dr, 63601)
- Webster Groves M,T,Th 9-6 & W,F 9-5 (7954 Big Bend Blvd, 63119)
Please choose one, or if flexible on location, more than one.
Doctor Preference
- Christopher Brenon, OD (M-F Leadington)
- Derek Wiles, OD (M-F Leadington)
- John Crane, OD (M,T,F Webster Groves)
- Mark Kahrhoff, OD (M,T,F Festus & W,Th Webster Groves)
Please make a selection only if you prefer to see a certain 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*
mm-dd-yyyy
Phone*
(xxx) xxx-xxxx
Email*
Comments
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Email
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