Please fill out the following form to request an appointment with us. Please note that availability will vary and a request does not confirm an appointment. A member of our staff will contact you to offer available dates and times and then confirm your appointment by phone.

If this is an eye emergency please call 911. If you have an immediate eye concern please call the office (717) 697-7288.

  • Please complete the following form to request an appointment. Please also note that availability will vary depending on your request. Your appointment will be confirmed by phone by a member of our staff. Thank you!
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