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Request an Appointment

Monday-Thursday 6:30 a.m. - 5:00 p.m. 
Friday 7:00 a.m. - 1:00 p.m.

To request an appointment at The Montgomery Eye Surgery Center, fill out the form below and click “Send Request.” We will contact you to schedule the appointment.

Please note: This request form is not intended as a tool for reporting a medical emergency or medical problem. It will not go to a physician and is only monitored during normal business hours. If you have critical or timely information, please contact a physician directly. If you have a medical emergency, please call 911.