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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.
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COVID-19 Update:

Unfortunately our regular vision therapy services are closed for the time being.

However, we are offering Tele-health, virtual vision therapy for your convenience.

Please click this link, fill out the form and Dr. Hanna will call you to proceed to the next step.

To stay updated please check our website

Thank you so much for your understanding during this challenging time.