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Appointment Request Form

Book A General Eye Care Appointment

optometrist, Book A General Eye Care Appointment in Huntington Beach, CA

Book A Dry Eye, Myopia Control, or Scleral Lens Appointment

If this is an emergency, do not contact us via email, please use our emergency contact information.

  • Please fill in the form below to setup an appointment.
  • Please indicate what specialty appointment type you wish to book. For general eye care, please go to
  • 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.
    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.