Please call (713)  652-9898 if this is an emergency!
Email is only checked during business hours
Dr. Ouida Middleton O.D. sees patients at the following times:
Monday Morning                Monday Afternoon
Wednesday Morning                Wednesday Afternoon
Thursday Morning                Thursday Afternoon
Friday Morning                Friday Afternoon
First Choice Day and Time
Second Choice Day and Time
How would you like for this
appointment to be confirmed?
Patient Information:
First Name
Last Name
Address
Your email address:
Telephone
Date of Birth
19
Insurance Company:
New Patient:
I am a:
Existing Patient
Comments/Special Requests:
Please use this form to request the most convenient date and time for you.  Our staff will
determine the closest available date and time for this request and give you a response
via the method you selected in the first part of this form
Please note that this on-line appointment request form is unencrypted and unsecured.
 If you have additional concerns about your privacy and would prefer not to continue,
contact our office to schedule an appointment at (713) 652-9898.


Wooten Vision Care
Appointment Request Form