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Home » Contact Us » Appointment Request Form

Appointment Request Form

Our office is temporarily closed in response to concerns surrounding COVID-19 and the health and welfare of our patients and team members. We are still scheduling appointments after April 4, 2020, and will reach out soon with availability. Thank you for your consideration and patience!

If you have an eye emergency, call 914-908-6317.

  • Please fill in the form below to setup an appointment.
  • Date Format: MM slash DD slash YYYY
    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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In an effort to minimize health and welfare risks to our staff and patients, our office is temporarily closed. If you have an Eye Emergency, please contact your nearest Urgent or Emergency Care Facility.
Thank you for your patience and understanding!

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