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Appointment Request

If you are a new patient to our practice and have vision insurance to file for a basic eye exam for eyeglasses, please walk in.

We are not scheduling these types of appointments at the current time. 

We cannot guarantee an appointment if you request an appointment within the next 24 hours. We recommend you call the following business day in the morning to check your confirmation 864 642 1889.

Once you submit this form, we will contact you via text or email to confirm and move forward with setting up your appointment.

Are you a NEW patient?
Patient's Gender
What are you coming in for?
Are you suffering from a medical condition, illness, or injury to the eye?
What day of the Week would you like to come in?
What time of day would you like to come in?
Do you have or take Medication for the following:
Are you Self Paying fo services?
How did you hear abiout us?

Thanks for submitting!

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