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Schedule Your Appointment

"*" indicates required fields

Name*

Email Address*

Phone*

Appointment Type*

Location Exam*

Location LASIK*

Location Cosmetic*

Location Cataract*

Location Retina*

Are you an existing patient?

Yes

No

Date of Birth*

Preferred Day*

Preferred Time*

Do we have permission to text you?*

Yes

No

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