Skip to main content
Open Menu
Menu
eyeglasses-wall-display-on-a-slant-1280x480
Home » Contact Us » Appointment Request Form

Appointment Request Form

If this is an emergency, do not contact us via email, please use our emergency contact information.

To request your next appointment, please complete the form below and let us know the most convenient time and date for you.  Please don't forget to include accurate contact details so we can follow up with you to finalize your request.

  • 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.
x

As uncertain as you may be in this time with the COVID -19 Virus, we share in your concern. We are concerned about the safety of you and your families as well as our staff here at Professional Family Eyecare.

As of Tuesday, March 17, the CDC recommended the postponing of all routine eyecare at this time. Our Coldwater and Greenville office will remain open for EMERGENCIES BY APPPOINTMENT ONLY.

Contacts and Eyewear is available for curbside pickup ONLY BY APPOINTMENT ONLY.

Our St Marys office is temporarily closed.

Our Doctors and staff will be available via phone at the Coldwater and Greenville offices Monday- Friday 9:00am-2:00pm.

We will be carefully monitoring the situation and will keep you posted with any updates. We apologize for any inconvenience this may cause.