Appointment Request For Specialty Contact Lenses Please fill in the form below to set up an appointment.Reason for Appointment--Choose a Selection--Specialty Contact Lens FittingsPost Surgical Contact LensesScleral LensesPreferred Date & Times*Please let us know when you would prefer to have your appointment. Our hours are listed on our location page.Patient Type* New patient Returning patient Please let us know if you are a new or existing patient.Name* First Last Phone*Email* Best Time to be Reached for Confirmation* : AM PM AM/PM CommentsCommentsThis field is for validation purposes and should be left unchanged.
