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Located 1 block east from the corner of Dysart and McDowell
Right after Fry’s Market in Avondale, AZ

Home » Contact Us » Appointment Request Form

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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  • This field is for validation purposes and should be left unchanged.
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We are Protecting our Patients from Coronavirus

AS OF MARCH 17TH, THE CDC HAS RECOMMENDED THAT ALL ROUTINE EYE CARE IS TO BE POSTPONED DUE TO THE COVID-19 VIRUS.

WE ARE FOLLOWING THE CDC RECOMMENDATIONS AND ASK THAT YOU RESCHEDULE YOUR ROUTINE EYE EXAM OUT AT LEAST 3 WEEKS WITH THE UNDERSTANDING THAT THIS TOO COULD CHANGE.

WE WILL REMAIN PARTIALLY OPEN FOR ANY URGENT OR EMERGENCY EYE CARE ISSUES BY APPOINTMENT ONLY.

For more information and updates on the COVID-19 outbreak and how it impacts on your eye care, please click here.