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Across from the Safeway Shopping Center
2305 Mendocino Avenue, Suite B – Santa Rosa, CA 95403

707-527-9137
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Home » Contact Us » Appointment Request Form

Appointment Request Form

  • Please fill in the form below to setup an appointment.
  • Please provide a reason for your appointment. Details are stored securely and not sent by email.
  • Please let us know when you would prefer to have your appointment. Our hours are listed on our location page.
    Please let us know if you are a new or existing patient.
  • PHP, VSP, or Medi-Cal, or other? Please let us know above.
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We are back open for appointments!

We will be following CDC Guidelines for safe practices.

For an appointment, you can call the office at (707) 527-9137 or fill out the New Patient Registration Form on this site.

(Click on the lady holding the white square) and it will be sent to us.

Now all registration and history information must be taken in advance of the appointment.

Our patients can also order contact lenses directly from this site.

We look forward to seeing you for your vision and eye health needs.

Dr. Hollis Stavn Optometry