Contact Us
Email    Print
 

Appointments

If you would like to schedule an appointment, please complete the fields below and someone from our office will contact you to confirm your appointment details.

Required information:

Title:
First Name:
Last Name:
Email Address:
Street Address:
City:
State:
Zip:
Phone (day):
Phone (evening):
Best time to call:

Optional, but helpful information:

Reason for Appointment:
I am available for an appointment on:
Please do not request a "same day appointment" via this website.
Your Optometrist:
Preferred doctor:
Preferred location:
Type of insurance:

What should the doctor know about you?

This is not a secure contact form. Please do not include sensitive medical information in your appointment request that you would not normally feel comfortable sending over email.

By using this form you are submitting a request only. Until you receive either an e-mail from one of our schedulers or a telephone call, you do not have an actual appointment. Thanks for your understanding.

PAYMENT OPTIONS
·  Affordable Payment Options
·  Flexible Spending Accounts
APPOINTMENTS
·  Schedule a consultation with our doctors. Tell us when you would like to visit.
CONTACT US

VISIT US AT: 1502 N. Tucson Blvd. Tucson, AZ 85716
PH: 520-326-4321 | FAX: 520-326-4736
EMAIL: lydiaedmunds@hodgeseyecare.com

 
{COPYRIGHT & DISCLAIMER INFORMATION} {PRIVACY POLICY} BACK TO TOP BACK TO TOP BACK TO TOP

Vision Correction | Senior Eye Health | Technology | Eye Conditions | Why Choose Us? | Cosmetic | Patient Forms | Events | Doctors

Mojo Interactive
Programming, Design and Hosting by Mojo Interactive, ©2002-2010.
Content ©2002-2010 Patient Education Concepts, Inc. Licensed Users Only
PEC