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Appointment Request

To request an appointment, please complete the following.

Please note when scheduling that as of February 1, 2022, we will be out-of-network providers for Spectera.

Reason for your appointment:*
- Routine Eye Exam
- Red/Pink Eye
- Ortho-K Consultation
- Health (Eye Disease, Diabetes, etc.)
- Pain
- Urgent/Emergency
- Other
Great! You can schedule your appointment online!

Click the button to select and schedule your appointment.
Online Appointment
Patient Information
Please answer all of the questions below. If you have any questions, call our office at (262) 923-7073.
If you have an emergency, please call our office. An automated service will direct your call to our doctors (262) 923-7073.
Patient's Name*
First Name Middle Initial Last Name
Is the appointment for a New or Existing Patient?*
- New Patient
- Existing Patient
Date of Birth (Patient)*
Month
Day
Year
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
This is your ________ phone.
- Home
- Mobile
- Work
Email*
How do you prefer we contact you?
- By Phone
- By Email
If Other, please briefly explain:*
STOP! If you have an eye care emergency, please call our office immediately.
An automated service will direct your call to our doctors (262) 923-7073.
Your Preferred Appointment

Please make a first and second choice. Routine vision exams typically book out approximately 4 weeks. We will follow up to confirm your appointment date and time. Please note our doctors' office hours:

Monday 8:30 a.m. - 5:00 p.m.
Tuesday 8:30 a.m. - 5:00 p.m.
Wednesday 8:30 a.m. - 11:30 a.m.
Thursday 8:30 a.m. - 5:00 p.m.
Friday 8:30 a.m. - 2:00 p.m.
Please select your preferred appointment day:*
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
Please enter a time range you would be available on this day:
Monday Appointment Hours: 8:30AM - 5:00PM
Please enter a time range you would be available on this day:
Tuesday Appointment Hours: 8:30AM - 5:00PM
Please enter a time range you would be available on this day:
Wednesday Appointment Hours: 8:30AM - 11:30PM
Please enter a time range you would be available on this day:
Thursday Appointment Hours: 8:30AM - 5:00PM
Please enter a time range you would be available on this day:
Friday Appointment Hours: 8:30AM - 2:00PM
Please enter a time range you would be available on this day:
Saturday Appointment Hours: 9:00AM - 11:30PM
Please select a second appointment day:*
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
Please enter a time range you would be available on this day:
Monday Appointment Hours: 8:30AM - 5:00PM
Please enter a time range you would be available on this day:
Tuesday Appointment Hours: 8:30AM - 5:00PM
Please enter a time range you would be available on this day:
Wednesday Appointment Hours: 8:30AM - 11:30PM
Please enter a time range you would be available on this day:
Thursday Appointment Hours: 8:30AM - 5:00PM
Please enter a time range you would be available on this day:
Friday Appointment Hours: 8:30AM - 2:00PM
Please enter a time range you would be available on this day:
Saturday Appointment Hours: 9:00AM - 11:30PM
How did you hear about Lang Family Eye Care?
Please choose your method of payment:
- Self Pay (I will pay for my eye care services)
- Medical/Vision Insurance (Bill my insurance)
Insurance Information
Existing Patients: please only enter insurance information if anything has changed since your last visit. Please note when scheduling that as of February 1, 2022 we will be out of network providers for Spectera.
Medical Insurance Provider
Medical Insurance Group / Policy #
Employer
Medical Insurance Subscriber / Member / ID #
Vision Insurance Provider
Vision Insurance Group / Policy #
Employer
Vision Insurance Subscriber / Member / ID #
If the patient is NOT the policy holder, please enter the policy holder's name here:
Policy Holder Date of Birth
Month
Day
Year
Policy Holder Employer
Email
This field is for validation purposes and should be left unchanged.

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Lang Family Eye Care New Berlin, WI

About Us

About Lang Family Eye Care
Dr. Laura Lang
Dr. Ryan Lang
Appointments
Eye Care Insight
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Appointments

Schedule an appointment for you or a family member today! Complete our simple online Appointment Request form.

Request Appointment

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You can pay your Lang Family Eye Care bill online.

Emergency Eye Care

Have an emergency eye problem? Learn about eye emergencies.

Urgent Eye Care

Insurance

Wondering if we accept your medical or vision insurance? Find out.

Check My Insurance

Send Us a Text

Our office can accept text messages or questions from you.

Lang Family Eye Care

(262) 923-7073

(262) 923-7073

(262) 923-7164

15855 W National Avenue, Suite 101
New Berlin, WI 53151

office@langfamilyeyecare.com

Office Hours

Monday

8:30 AM - 5:30 PM

Tuesday

8:30 AM - 5:30 PM

Wednesday

8:30 AM - 5:30 PM

Thursday

8:30 AM - 5:30 PM

Friday

8:30 AM - 2:30 PM

Saturday

Closed

Sunday

Closed

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