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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.
  • :
  • This field is for validation purposes and should be left unchanged.

A message to our patients regarding COVID-19:

Stellar Eye Care’s top priority is the health and safety of our staff and patients.  We will continue to provide quality eye care in a clean environment and appointments will be conducted as scheduled.  However, if you are experiencing cold or flu-like symptoms, we do ask that you call us to reschedule your appointment for a later date (unless it is an emergency).  Thank you for understanding and please let us know if you have any questions.

(920) 233-0005