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Appointment Request Form

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

To request your next appointment, please complete the form below and let us know the most convenient time and date for you. Please don’t forget to include accurate contact details so we can follow up with you to finalize your request.

  • Please fill in the form below to setup an Full Exam appointment. For other office visits, please call our office.
  • 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.

In an effort to reduce the spread of COVID-19, the CDC has recommended that all routine eye care be deferred until further notice.

For the safety of our patients, our team, and the community, P.E.C. is complying with that recommendation. We are currently rescheduling annual eye examinations for patients without problems.

Our doctors are continuing to see patients with urgent and emergent eye problems.

Temporarily, our office is open from 8 a.m. to 1 p.m. Monday - Friday.

Please call 804-285-7638 before coming to the office so that we can address your questions and concerns on an individual basis.

If you are picking up contact lenses or eyewear, we would be happy to bring them to your car. We can also mail your contact lens supply without shipping charges.

After business hours, if you have an eye emergency, please call 804-205-7628 to speak to one of our doctors.

Stay safe. We very much look forward to seeing you in the future.

Patterson Eye Clinic