[mk_page_section bg_image=”https://collinsvision.wpengine.com/wp-content/uploads/2016/02/contact-header.jpg” attachment=”fixed” bg_repeat=”no-repeat” bg_stretch=”true” video_color_mask=”rgba(0,0,0,0.1)” video_opacity=”0.9″ min_height=”0″ padding_top=”250″ padding_bottom=”150″ top_shape_color=”#ffffff” bottom_shape_color=”#ffffff” sidebar=”sidebar-1″][vc_column][mk_title_box color=”#ffffff” highlight_color=”#002840″ highlight_opacity=”0.4″ size=”45″ line_height=”88″ font_family=”none” align=”right”]Contact Us[/mk_title_box][mk_title_box color=”#ffffff” highlight_color=”#002840″ highlight_opacity=”0.4″ size=”28″ line_height=”54″ font_family=”none” align=”right”]Thank you! We have received your online submission.[/mk_title_box][/vc_column][/mk_page_section][mk_page_section padding_top=”40″ sidebar=”sidebar-1″][vc_column][vc_column_text]Schedule an appointment at Collins Vision, with locations in Fort Myers and Naples, Florida.

For your convenience, we offer you the ability to request an appointment online. Please note that is a request only, and you will receive a follow-up call from our office to confirm your appointment day and time.[/vc_column_text][/vc_column][/mk_page_section][mk_page_section section_id=”form” sidebar=”sidebar-1″][vc_column width=”1/2″][vc_column_text title=”Contact Form / Request Appointment”]

    First Name (required)

    Last Name (required)

    Phone Number (required)

    Email (required)

    Are You an Existing Patient?

    How Did You Hear About Us?

    Preferred Location

    Type of Insurance

    How Would You Like Us to Reach Out?

    What Can We Help You With Today?

    Note: Messages sent using this form are not considered private. Please contact our office by phone if sending highly confidential or private information.

    [/vc_column_text][/vc_column][vc_column width=”1/2″][mk_custom_list title=”Office Hours”]

    [/mk_custom_list][vc_column_text title=”Convenient Locations”][mk_padding_divider size=”10″]

    Fort Myers Office

    6900 International Center Blvd
    Fort Myers, FL 33912

    Map & Directions

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    Naples Office

    860 111th Avenue North
    Naples, FL 34108

    Map & Directions