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Appointment Request Form

  • Please fill in the form below to setup an appointment.
  • Please provide a reason for your appointment. Details are stored securely and not sent by email.
  • Please let us know when you would prefer to have your appointment. Our hours are listed on our location page.
    Please let us know if you are a new or existing patient.
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  • This field is for validation purposes and should be left unchanged.

Due to COVID 19 and new regulations, all eye health exams and elective procedures will be rescheduled and our office will be temporarily closed. Please click here to read more about the COVID 19 regulations, what we are doing about it, and to learn how to contact us for emergencies and to order contact lenses.