Heffington’s North 640 West Chestnut Street, Springfield,MO 65806 417-869-3937 Heffington’s South 1350 E Woodhurst Drive, Springfield, MO, 65804 417-882-3937 Please call us if you do not see an appointment day or doctor that meets your needs or if you are having a medical emergency. Please fill out the form below. Personal InformationName* First Last We'd like to contact you to confirm your appointment. Which method of communication do you prefer?*TextEmailCallEmail* Phone*Date of Birth Date Format: MM slash DD slash YYYY Exam informationChoose a Location for the eye exam.*Select BelowHeffington's South (1350 E Woodhurst Drive)Heffington's North (640 W. Chestnut Expressway)Has the patient had an eye exam with us at this location?*Yes, I've had an eye exam at this location?No, I haven't had an eye exam at this location?Does the patient require a contact lens fitting?*YesNoPlease select preferred day and time:*Select BelowMonday MorningMonday AfternoonTuesday MorningTuesday AfternoonWednesday MorningWednesday AfternoonThursday MorningThursday AfternoonFriday MorningFriday AfternoonSaturday MorningInsurance InformationWill the patient be using insurance?*YesNoChoose your insurance providerAetnaBlue Cross Blue ShieldDavis VisionEssenceEyeMedEyeQuestMedicaidMedicareSpecteraUnited Health CareVSPOthersPlease enter your insurance provider*MessageCAPTCHACommentsThis field is for validation purposes and should be left unchanged.