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Home » Contact Us » Appointment Request Form

Appointment Request Form

If this is an emergency, do not contact us via email, please use our emergency contact information.

To request your next appointment, please complete the form below and let us know the most convenient time and date for you.  Please don't forget to include accurate contact details so we can follow up with you to finalize your request.

  • 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.
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To all our patients,

Due to state and federal orders, our office will only be opened on Monday and Wednesday for essential and urgent needs until further notice. Our phone number is 661-294-2733. Please leave a message if we can’t get to the phone or you can text to 626-824-2982.

If you need to order contact lenses, we can send them with no shipping fee at this time if you order 2 boxes or more. If your contact prescription recently expired, we may authorize to extend for 3 months.

We are here to support you in any way that we can.

Thank you for your patience and stay safe and healthy.

Drs. Paul Lin and Phuong Quach