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Home » What's New » Online Patient Registration Forms

Online Patient Registration Forms

You can now request your next appointment online. 

Visit the Contact Us section of our web site and complete the Patient Registration Form.  The form is secure and our office will be notified once the form is complete.  When you walk in for your next appointment, we'll already  have the information entered into our computers.  We're always looking for ways to serve our patients better.

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Protecting our Patients from Coronavirus

Custom Eyes will be rescheduling all routine eye care as of March 24th. We will suspend all routine vision care and normal office accessibility but we are still here for you!

CLICK HERE TO SEE THE LATEST CORONAVIRUS INFO FROM OUR PRACTICE