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We are closed the 24th, 25th, 26th, and 28th, and that we are open 8:00am-12:00pm on the 31st.

Stay up to date on our COVID-19 pandemic protocols.

Home ยป Appointment Request Form

Appointment Request Form

If you have an urgent eye issue please do not use this form. Please either call the office or go to Misericordia Urgent Eye Center

  • 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.
  • This field is for validation purposes and should be left unchanged.

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