Please fill out this request form with the dates and times that work for you, so that we can find the best appointment for you. We'll need all insurance information 2 days prior to your appointment. Please use the comments section to send us the names of your insurance providers and any information we will need to identify you. If you wear contact lenses, please have them in for your appointment for 4+ hours, and please bring in your last prescriptions for glasses and contacts lenses. See you soon.

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Please note that the date and time you requested may not be available. We will contact you to confirm your actual appointment details.