Prairie Vista Eye & Optical Appointment Request Form

Please provide the details below and our staff will be with you shortly to confirm your appointment request. If you prefer, we are available by phone at 620.624.1679.  

*Please note that although we do our best to accommodate the requests of our patients, by completing the form below, your requested date and time do not guarantee the date of your appointment. Our staff will contact you to verify your appointment date and time. See you soon!

Appointment Request Form

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
8a - 12p
12p - 5p
5p - 7p
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