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305-363-1414
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Vision Therapy Appointment Request

Vision Therapy Appointment Request Form

Please fill in the form below to request an appointment. This is only a request for an appointment, our office will contact you via text and/or email to confirm it has been scheduled
  • This appointment form is for Vision Therapy & Neuro-Optometric Rehabilitation. For Scleral Lenses, click Here. For General Eye Care, click Here.
  • 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 Contact Us page.
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  • This field is for validation purposes and should be left unchanged.