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Appointment Request Form

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.

Our eye care center has a full-service optical, so just one visit can take care of all of your vision needs.

We are located in the shopping center next to Furniture Solutions on Gloria Terrell Dr in Wilder, KY

Schedule an appointment today!

Call Us Now! (859) 444-4480

  • 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.
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  • This field is for validation purposes and should be left unchanged.