Contact Us

Contact Us

Contact Us

Contact Us

Appointment Request

Same-day appointments may often be available so please call our office if you want an appointment today.


Please be aware that you are submitting a request only. A representative from our office will contact you within 24 to 48 business hours to confirm a date and time.


If this is a medical emergency, please do not fill out this form, call 911.
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Submit the following information to request an appointment

Disclaimer: This form should not be used to communicate any confidential personal or medical information (PHI), but should only be used for appointment requests and general questions.*

Please do not submit any Protected Health Information (PHI).

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Roya1234 none 10:00 AM to 07:00 PM 10:00 AM to 07:00 PM 10:00 AM to 07:00 PM 10:00 AM to 07:00 PM 10:00 AM to 07:00 PM 09:30 AM to 05:00 PM 10:00 AM to 04:00 PM optometrist # # # 520 N Lone Hill Ave San Dimas CA 91773 9093944545