Schedule an Appointment:

All fields are required

Patient Information:

First Name:
Last Name:
Email Address:
Telephone Number:
Date of Birth: *

Choose a Location:

Fairway Eye Center
3414 Shawnee Mission Parkway
Fairway, KS 		Fairway Eye Center North
1528 NE 96th St Suite A
Liberty, MO

Please choose 2 appointment dates in order of preference:
First Choice:
Second Choice:

Select the doctor you would like to visit:
Dr. Bunde Dr. Rebecca O'Brien

Reason for your visit and/or additional information: