Book an appointment

Using the form below, book an appointment at a time that is most convenient for you. We'll follow up to confirm your appointment date and time.

* Please note that this is a date request only - the day and time will be confirmed directly with you upon receipt (via email or phone) We typically schedule consultation appointments 2-3 weeks in advance.

Title
First Name
Last Name
Phone
E-mail
Name of your Eye
Doctor/Optometrist
Confirm my
appointment via
e-mail       phone
Location
I am interested in
Preference #1
Select a date
Select a time
Preference #2
Select a date
Select a time
Comments / Questions:

 

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