Booking an Appointment at Harrel Eyecare Book A General Eye Care Appointment Basic form for clients to request an appointment with the practice. Please fill in the form below to setup an appointment.Reason for AppointmentPlease provide a reason for your appointment. Details are stored securely and not sent by email.Preferred Date & Times*Please let us know when you would prefer to have your appointment. Our hours are listed on our location page.Patient Type*New patientReturning patientPlease let us know if you are a new or existing patient.Name* First Last Phone*Email* Best Time to be Reached for Confirmation* : HH MM AM PM CommentsNameThis field is for validation purposes and should be left unchanged. Book A Dry Eye, Vision Therapy, or Scleral Lens Appointment Specialty Appointment Type*Dry Eyes Assessment/Treatment/FollowupVision Therapy Assessment or AppointmentScleral Lenses Assessment/Fitting/FollowupPlease select the type of appointment you are requesting. If you are interested in booking a general eye care appointment, please click HEREReason for AppointmentPreferred Date and TimesPatient Type*New patientReturning patientName* First Last Phone*Email* Best Time to be Reached for Confirmation : HH MM AM PM CommentsEmailThis field is for validation purposes and should be left unchanged.
