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Located at: 1330 S Range Ave. in Denham Springs
Call 225-664-2189 to schedule an eye exam

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Home » Contact Us » Appointment Request Form

Appointment Request Form

If this is an emergency, do not contact us via email, please use our emergency contact information.

To request your next appointment, please complete the form below and let us know the most convenient time and date for you.  Please don't forget to include accurate contact details so we can follow up with you to finalize your request.

Please arrive 10 minutes prior to your scheduled appointment and bring with you any glasses or contact lenses you have been wearing, a list of your medications, and your up-to-date medical and vision insurance information.  You may receive eye drops during your examination that will make your eyes sensitive to light, a pair of sunglasses is recommended.

 
  • 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.