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Appointment Request Form

General Appointment

  • 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.

Specialty Appointment - Vision Therapy | Myopia | Scleral Lenses | Dry Eye

  • 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.
  • Date Format: MM slash DD slash YYYY
  • 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.

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Unfortunately, due to COVID-19 we have had to temporarily reduce our hours. Click here for our temporary hours.

Click here for more information on the current situation’s impact on eyecare.

Click here for the hygenic procedures we are implementing to keep you safe and healthy.

If your child is distance learning, click here for eyecare tips.