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Online Patient Registration Form

lock icon Please complete the information below and submit the form online, or if you prefer print out the form after full or partial completion, and bring it when you come to our office. This form contains confidential information and is delivered to your doctor through a secure Internet connection.

40% Off All Non-Rx Sunglasses! November 27th Only!

Black Friday 2020 is almost here! On November 27th, save 40% on ALL Non-Rx sunglasses, including your favorite brands. Choose from Oakley, Costa, Rayban, Burberry, Coach, Michael Kors, and more!

  • Ray-Ban
  • Oakley
  • Burberry
  • Coach

Call to schedule today!

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