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Appointments

If you would like to schedule an appointment, please complete the fields below and someone from our office will contact you to confirm your appointment details.

Required information:
Title:
First Name:
Last Name:
Email Address:
Street Address:
City:
State:
Zip:
Phone (day):
Phone (evening):
Best time to call:

Optional, but helpful information:
Reason for Appointment:
I am available for an appointment on:
Please do not request a "same day appointment" via this website.
Your Optometrist:
Preferred doctor:
Preferred location:
Type of insurance:

What should the doctor know about you?

This is not a secure contact form. Please do not include sensitive medical information in your appointment request that you would not normally feel comfortable sending over email.
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By using this form you are submitting a request only. Until you receive either an e-mail from one of our schedulers or a telephone call, you do not have an actual appointment. Thanks for your understanding.
  

VISIT US AT:

Bloomfield Office
4 Northwestern Drive, Suite 400
Bloomfield, CT 06002
PH: 860-243-2020

Windsor Office
1080 Day Hill Road, Suite 301
Windsor, CT 06095
PH: 860-688-1549

Click Here to See All Primary Eye Care Locations

Senior Eye Health :: Procedures :: Technology :: Eye Conditions :: LASIK :: Surgical Center :: Oculoplastics :: Patient Forms :: Doctors
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