Appointments

Request an Appointment by Phone or Online

Call for an Appointment

To speak with a member of the Rose Optical team or to schedule an appointment today.

Please call 618-466-8787.

Our office is located at 3300 Godfrey Road in Godfrey, IL. 62035.

 

New Patient Form

New Patient?

We look forward to seeing you at Rose Optical. If this is your first visit with us please consider printing and filling out an information form to help expedite the check-in process. Once you are here and registered, you will be called in by one of our friendly and well trained technicians. We will go over your health history and current concerns you may have about your eyes and your vision. Depending on the complexity of your concerns additional testing may be done. If your analysis requires a comprehensive eye exam, you should plan on being dilated and allowing 60-90 minutes for completion.

Other Important Forms

THE THREE FORMS YOU WILL NEED TO HAVE COMPLETED FOR YOUR APPOINTMENT ARE DOWNLOADED ON THIS SITE AS WELL. PLEASE PRINT THEM OFF AND HAVE THEM COMPLETED UPON ARRIVAL OF YOUR APPOINTMENT!

Rose-Optical-Medical-History-Front-2015
Rose-Optical-Medical-History-Back-2015
Rose-Optical-Insurance-Form-2015

More Questions?

Contact us.

If you have any questions just contact us and we’ll get right back to you.