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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.

WE CAN ONLY PROVIDE EXAMINATIONS FOR NO MORE THAN THREE FAMILY MEMBERS ON THE SAME DAY OF SERVICE.  THIS IS SO WE CAN BE FAIR TO OTHER PATIENTS TO MAKE APPOINTMENTS, AND FOR OUR APPOINTED PATIENTS TO BE ABLE TO HAVE A SEAT IN THE WAITING AREA.

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Effective January 1st, 2024, our exam fee for prescription glasses for self-pay patients will increase slightly from $120 to $125 to compensate for increased business costs. Thank you!