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Request an Appointment

To request an appointment, call Laurel Eye Clinic at 800-494-2020, or complete the form below. Please note that this form is not intended for urgent conditions, or for questions regarding medical conditions. If you are experiencing an acute eye problem or emergency, please contact our office by telephone.

Our staff will contact you by phone to confirm the actual date and time of your appointment.

PLEASE NOTE:  Any personal information entered is not encrypted.  By sending an email to our practice, you are acknowledging that we will answer in an unencrypted format.  If you prefer not to enter personal information, please call our office at 800-494-2020.

Please do not use this form to cancel or change an existing appointment.

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