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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.

Preferred Date & Times
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Day
Year
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HoursMinutes
Patient Type
New Patient
Returning Patient
Best Time to be Reached for Confirmation
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Patient's Date Of Birth
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Day
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Eye Q Optical

104-23 Queens Blvd
Forest Hills, NY 11375
 

Phone:        718-275-2500

Phone:        718-690-3250

Email:          eyeqoptical@gmail.com
                     (Do not send personal health

                     information by email.)

​

Email:          eyellusion@gmail.com
                     (Do not send personal health

                      information by email.)

Monday:             10:00 AM - 6:00 PM

Tuesday:             10:00 AM - 6:00 PM

Wednesday:      10:00 AM - 6:00 PM

Thursday:            10:00 AM - 6:00 PM

Friday:                 10:00 AM - 6:00 PM

Saturday:            10:00 AM - 6:00 PM

Sunday:               Closed

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