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Home » Contact Us » Appointment Request Form

Appointment Request Form

If this is an emergency, do not contact us via email, please use our emergency
contact information
.

Complete the following 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.
  • :
  • This field is for validation purposes and should be left unchanged.

We are excited to tell our valued patients that we will be opening the clinic to routine eye care beginning May 4.

Please be mindful that there will be limited access so we ask that you schedule an appointment before coming in. We apologize in advance for potentially running behind schedule as we implement best practices for your and our safety. If we are running late, we ask that you wait in your car until the previous patient leaves.

Also, we will only allow so many patients in the office so we request that only the patient with the appointment come to the office, obviously, except for a parent accompanying his or her child or a caregiver.

We request that you apply hand sanitizer upon arrival at the office and to please wear a mask when they come.

All exam rooms and instruments will be cleaned and disinfected between patients.

We very much look forward to seeing you!