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Patient Appointment Request
If you would like an appointment with Vision Associates, please fill out the form below.  As with anything on the Internet, this form cannot be considered to be guaranteed private, so you do not need to share any clinical information in the comment field that you want to remain private. When you click submit, one of our staff will receive your form and call you back within 1 business day. If you are having a medical problem, DO NOT USE THIS FORM. Call us directly at 419-578-2020 or toll free at 1-888-322-7070. If it is a non-eye problem, call 911 or the nearest emergency room.


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When would you like to be seen? Please call 911 or 419-578-2020 if you have an emergency.


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