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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.
x

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.

Dr. Love and Escondido Premier Eyecare were recently featured in SDVoyager magazine. Read more about it here