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Appointment Request Form


We allow a 10 minute grace period from scheduled time for all our appointments. (i.e. if your appointment is scheduled at 10:00am, we will need to reschedule your appointment if you arrive at 10:10am or later.)

If you have 3 No Shows in a row, you will no longer be able to schedule with our office. Thank you for your understanding.

  • 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.
Don’t miss out! Use or lose it! Health and Flex Savings Accounts accepted for all your eye care needs. Come in today!