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Appointment Request Form

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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.
  • :
  • This field is for validation purposes and should be left unchanged.

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Low Vision Patient able to see clear at a distance again with E-Scoops

Low Vision Patient able to see from a distance again

Low Vision Patient able to read for the first time in a long time

Low Vision Video Testimonial

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We have new features and protocols in place to ensure your safety. To learn about these protocols, as well as to learn about new patient expectations for appointments, click here. Please call us to schedule your appointment or with any questions today! 734-525-8170.