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Appointment Request Form

If Booking online for General Eye Care, please click HERE

For Specialty Services such as Dry Eye, Myopia Control, or Ortho-K, please fill out the form below.

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 https://limelight.solutionreach.com/scheduling/subscriber/12671/scheduler
  • 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.