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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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COVID -19 Notice – due to CDC recommendations we will be temporarily closed until further notice. We can still be reached through our secure contact form and we will get back to you as soon as possible. TeleHealth is now available. Please click below to schedule an appointment. We are still available to order contacts and all orders will be shipped for free.

Thank you and we look forward to servicing you soon.