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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.
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Hello! Just an update: Our door will be locked, by appointment only (please call even if it is for an adjustment of your glasses), and a mask must be worn in our office.

If you have been with someone who has COVID-19 or has symptoms please call and reschedule your appointment.