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Appointment Request Form - PPC

Basic form for clients to request an appointment with the practice.
  • 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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We are now Open with a modified schedule:
Monday-Friday 8am-4:30pm By Appointment Only!

Due to COVID-19 we are operating on a reduced/modified schedule in a controlled environment to protect our patients and staff. Please read over the following protocol before coming to the office and call or text us: 512-263-3937 if you have any questions. Click here to order contact lenses.