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What is the reason for this visit?

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To book an appointment,
please select a provider.

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Are you an existing patient?

Additional Notes

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Have you worn Contact Lenses before?

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BlueCrossBlueShield, United Healthcare, Priority Health, Aetna, etc

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Enter your vision insurance if any

Review and Submit

Please review then click submit.

  • 1. Personal Details
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  • 2. Appointment details
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