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Appointment Request 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.
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To our valued patients:

As we all know we have been following the updates and information that is being provided on our current situation with the COVID-19 virus. We have continued to take measures in keeping our office clean and disinfecting all areas of the office as we have been accustomed to doing.

Please note the change in our hours for the upcoming week of March 30 -April 3:

Mon, Wed, 1:00 pm- 5:00 pm

Tues, Thurs, Fri 8:00 am – 12:00 pm

Please call the office at (920) 968-7546 if you feel you have an emergency. Additionally, don’t hesitate to contact us if you need to order a supply of contacts. We can ship them directly to you. Check out our website if you may be interested in purchasing glasses online through Proper Optics.

We appreciate your cooperation and understanding during this difficult time.