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Home » Contact Us » Appointment Request Form

Appointment Request Form

If this is an emergency, do not contact us via email, please use our emergency
contact information
.

Complete the following 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.
  • 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.
  • This field is for validation purposes and should be left unchanged.
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Important Notice for New Patients! Don’t get lost trying to find us.
Our office is at the top floor, so please park in the upper level parking lot.

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Dear Valued Patient,

At Escondido Premier Eyecare, we care about the health and safety of our patients and employees like we care about our family.

Our office will remain open during this time. We’ve had a long-standing practice of disinfecting all areas of our office throughout the day, and all clinic areas are disinfected prior to every patient seen.

As always during the peak of flu season, and with the growing concerns around the Coronavirus, we have taken extra measures to increase frequent cleaning and have provided additional training and precautions to our staff to help keep their health and yours safe.

As a reminder, if you have fallen ill, have traveled abroad, or had close contact with someone who has traveled abroad within the past 14 days and are due to be seen for an appointment, please let our office know. We will be happy to change your appointment to ensure the safety of our patients and staff.

Feel free to contact us with any questions. Thank you.

Escondido Premier Eyecare Team