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We’re conveniently located at 28902 Hwy 290, Ste J09 in Cypress.

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.

Please refer a friend or a family member for an eye exam to receive a $25 gift certificate towards eyewear purchase. LASIK surgery referrals will receive a $50 gift certificate towards an eye exam or eyeglass purchase.

Thank you for your referrals.


lady with glasses and piggy bank with glasses