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Appointment Request Form

  • Please fill in the form below to setup an appointment.

    If booking more than yourself, please let us know the ages of each friend/family member (in the date/ times box) so we can be sure to provide adequate time to provide complete care and minimize your wait time and maximize your convenience.
  • 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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Due to the COVID-19 pandemic, we will be closed for regular business until further notice. 

We will be taking phone calls for emergencies and pickups. 

For our existing contact lens patients, if you are running low on contact lenses, please call and leave your name and contact number and we will order your contact lenses so you won't miss a day. 

780-467-2244

We apologize for any inconvenience.