Request An Appointment If this is an emergency, do not contact us via email, please use our emergency contact information. To request an appointment, please fill in the form below. One of our staff will call you to complete your request. Thank You!New or Returning Patient?* New Patient Returning Patient Name* First Last Phone*Preferred Location* Liverpool Fayetteville Reason for Appointment* Eye Exam Contact Lenses Medical Exam Specialty Contact Lens Consult Dry Eye Treatment Other NameThis field is for validation purposes and should be left unchanged.