Appointment Request

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Last Name
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Email
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Date of Birth*
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Questions and Comments

Thank you!

Please bring the following to your appointment:

  • your current eyeglasses

  • your current medical and vision insurance cards

  • a list of your medications

  • If you wear contact lenses, the prescription of the box(es)

  • a good pair of sunglasses as your eyes will be dilated


Our staff is required to wear a face mask, as we are considered a medical clinic. We highly recommend that you also wear a face mask.

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