Personal Health Record
(561) 798-8282
Request an Appointment

Request an Appointment

The office of optometrist Dr. Les Harrell in Wellington, Florida looks forward to having you join our family of satisfied patients. To schedule an appointment, please call us at (561) 798-8282 or request an appointment using our interactive appointment request form below. Our appointment scheduler will respond to your request within 48 hours.

Once you have made your initial appointment, you may pre-register by downloading and printing the form at the bottom of the page or you can complete our online form below and submit directly to our office. If printing our New Patient Packet form, please be sure to bring the completed form with you to your first visit. Completing the form prior to your visit will help speed up the new patient registration process.

Appointment Request Form

Please do not use this form if you have an urgent medical problem or you need to re-schedule an existing appointment. Instead, please contact our office at (561) 798-8282.

Interactive Forms:

Downloadable Forms:

Please note: It may take a few minutes to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.