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Home » Contact Us » Appointment Request Form

Appointment Request Form

If this is an emergency, do not contact us via email, please use our emergency contact information.

Complete the following 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.
Our Open Hours

Hours
  • 9:00 AM - 5:30 PM
  • 10:30 AM - 7:00 PM
  • 9:00 AM - 5:30 PM
  • 9:00 AM - 5:30 PM
  • 8:00 AM - 2:00 PM
  • 8:00 AM - 2:00 PM
  • Closed

Friday and Saturday: Early appts available on request

Open Hours:

Hours
  • 9:00 AM - 5:30 PM
  • 10:30 AM - 7:00 PM
  • 9:00 AM - 5:30 PM
  • 9:00 AM - 5:30 PM
  • 8:00 AM - 2:00 PM
  • 8:00 AM - 2:00 PM
  • Closed

Friday and Saturday: Early appts available on request

Request an Appointment - Online Form

We are excited to welcome you back into our office!

We are currently open by appointment only for all services to reduce the number of people in the office. Please contact our office to get our soonest availability for an exam.

Due to COVID-19, we are taking precautions to ensure your safety and well being, as it remains our highest priority. Our staff is diligently adhering to CDC guidelines and other healthcare recommendations and required protocols.

Thank you and we look forward to seeing you soon!

Hung D. Mac, OD & Staff