accessibility ACCESSIBILITY
Call: (973) 743-1331

Appointment Request

The first step towards better vision is to schedule an appointment. Please contact our office by phone, complete the appointment request form below or register to use our web portal where you can share information over a secure encrypted line.  Our scheduling coordinator will contact you to confirm your appointment.  Web portal link located on the Welcome page.

Please do not use this form to cancel or change an existing appointment.
*Items in bold are required.

Preferred day(s) of the week for an appointment?

Preferred time(s) for an appointment?

Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

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Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.