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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.
  • Date Format: MM slash DD slash YYYY
  • :
  • This field is for validation purposes and should be left unchanged.

We have Reopened!

Routine eye care is now available

We are following CDC precautionary measures to keep you safe:

* Face Covering required*

*We will come out to screen your temperature*

*Only the patient allowed inside*

*No visitors except parents or caregivers*

Now Accepting Appointments

Call or text us at 704.982.2020