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Home » Contact Us » Appointment Request Form

Appointment Request Form

As of June 1, 2020, our new office policy will require certain forms to be pre-filled at home and to bring the completed documentation to the scheduled appointment.

  • All patients must review his/her medical history. Medical History Form
  • All patients interested in purchasing frames must provide his/her preference to improve the optical experience. This will also better assist our staff to help select your favorite frame. Frame Questionnaire
  • Please read our Privacy Policy
  • 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.