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Appointment Request Form

  • Please fill in the form below to setup an appointment.
  • 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.
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  • This field is for validation purposes and should be left unchanged.

Dear Valued Patient,

At Glen Falls Vision Care, the health and safety of our patients and employees is our top concern. 

In an effort to do our part to stop the spread of the COVID-19 virus, our office has decided to close temporarily. We will re-open when the medical crisis has changed.

We will contact all of our existing patients to reschedule their appointments. We want to thank all of patients for being patient while this situation runs its course. Stay safe and stay healthy!