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Home » Contact Us » Appointment Request Form

Appointment Request Form

Basic form for clients to request an appointment with the practice.
  • 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.
  • :
  • This field is for validation purposes and should be left unchanged.

We will do our best to schedule you at your requested time, however; due to our busy schedule, this appointment is not guaranteed. Appointments are only finalized after you receive a call from our office to schedule your appointment upon receiving your request.

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Notice to Seacoast Vision Care Patients and Customers
**Temporary Business Hours as of 4/6/2020 Until Further Notice**
Monday through Friday 9:00 AM to 1:00 PM

Due to the spread of COVID-19, we ask that no one enter our office during this time unless arrangements have been made for pick up of existing orders. We are offering car-side pickup and free shipping of eyewear and contact lens orders.

Appointments from 3/23/2020 through 5/1/2020 have been cancelled. Staff will be calling to reschedule these appointments.

To make a payment please call with payment information or mail your payment with your billing statement to our office.

If you are having an eye health urgent concern or emergency, please call our office at any time and leave a message on the “emergency” voicemail at (207) 396-6603.

For general questions, to place an order or make arrangements for an existing order please call (207) 396-6603 or email us at officescvc@gmail.com. Staff will return your call or message promptly. Seacoast Vision Care updates will be available on our website and Facebook page, as well as via email to our patients.