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Appointment Request Form

Advanced Medical Services

The form below is intended to help patients schedule a consultation or eye exam for specific services, including Specialty Contact Lens Fitting, Scleral Lens Fitting, Keratoconus Consultation Orthokeratology Fitting, or Myopia Control Consultation.

  • 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.
  • Date Format: MM slash DD slash YYYY
    Please let us know if you are a new or existing patient.
  • This field is for validation purposes and should be left unchanged.

Looking for an Eye Exam?

Access our online schedule here!

If you're looking for a routine eye exam, contact lens fitting, medical eye exam, or anything related to general eye care, we recommend you go to our online scheduler to find a time that's convenient for you.

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