559-784-4063
*We will make every attempt to make an appointment as close to your request as possible.
Appointment confirmation will be sent to your email.  There is no guarantee to appointment time prior to
confirmation. Thank you for your understanding.

** Please make requests at least 2 weeks prior to desired appointment time and dat
e. **
First, Middle Initial, Last
YES
No
Appointments
Confirmed Appointments:

If you have an upcoming appoin
tment and have received your pass-code please visit:
Pre-Appointment Online Form
Eye & Vision
Center
Robert D. Gillett, O.D.
559-784-4063
418 W.Putnam Ave
Porterville,
CA
Name:

email:

Telephone #
:

Address:


Have you been with us before?:

Payment Method:

Appointment Request
Date:

Time:


Special Circumstances:
(if taking any medications
please make sure to list
the names.)
Thank You.