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Appointment Request
Patient Information
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Acknowledgement of Privacy Practice
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Appointment Request
Full Name
Phone (xxx-xxx-xxxx)
Email
Appointment Type
Eye Exam
Eyeglass Purchase
Eyeglass Repair
Onsite Eyewear Consultation
Frame Adjustment
Follow Up
Other
None of the Above
Doctor Preference
Any Doctor
Dr. Bruce Luong
Dr. Jessica Luong
Patient Status
New Patient
Current Patient
The Date & Time of when you would like to come in
and
Time
In the Morning
In the Afternoon
In the Evening
Between 9 am - 10 am
Between 10 am - 11 am
Between 11 am - 12 pm
Between 12 pm - 1 pm
Between 1 pm - 2 pm
Between 2 pm - 3 pm
Between 3 pm - 4 pm
Between 4 pm - 5 pm
Anytime
Notes
This is an online appointment request and to wait for a confirmation call before coming in
1016 E. Hebron Pkwy Ste 150
Carrollton, TX 75010
(469) 480-6150
HOURS OF OPERATION
Monday
9:30am - 6:00pm
Tuesday
9:30am - 6:00pm
Wednesday
9:30am - 6:00pm
Thursday
Closed
Friday
9:30am - 6:00pm
Saturday
Appt. Only
Sunday
Closed
Framed Eyecare
1016 E. Hebron Pkwy Ste 150
Carrollton
,
TX
75010
Phone:
(469) 480-6150
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