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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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  • This field is for validation purposes and should be left unchanged.
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To our valued patients:

As we continue to be mandated closed due to the Covid 19 pandemic, we are in the midst of preparing and planning for our office to reopen. Our patient and staff health and well-being is our priority. In preparation we have been cleaning and disinfecting our office daily, staggering appointment times when scheduling patient visits and modifying the physical set up of the office to respect physical distancing measures. All surfaces touched by patients and Team members are being sanitized before and after use eg. door handles, frames, equipment. Our Team will be wearing Personal Protective Equipment throughout your visit. We are working hard to ensure a safe and comfortable environment for everyone. Please reach out to us should you have any questions or concerns.

We look forward to serving our community again soon!

The Team at Clarity Optometry