schedule your next appointment


Use this form to request your next appointment. A member of our team will contact you within 24-hours to confirm your time. Please note that your selected time may be filled, we work hard to accommodate all patients. We look forward to seeing you!

 


If you are a previous patient we invite you to view your patient portal here. You can direct message Dr. Massengale, view past medical records, request appointments, and view glasses and contact lenses prescriptions. 

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Name *
Name
Date of Birth *
Date of Birth
Address
Address
Phone *
Phone
Date *
Date
Exam Type *