Appointment RequestTake the first step towards maintaining healthy vision by scheduling your appointment today. Office Office *ChillicotheCirclevilleGrove CityLancasterPortsmouthWashingtonWaverlyWilmington First Name Last Name Phone Email Address Consultation Wanted Consultation Wanted *Eye ExamEyeglass PurchaseEyeglass RepairOnsite Eyewear ConsultationFrame AdjustmentFollow UpOther Patient Status Patient Status *New PatientCurrent Patient The Best Time to Call The Best Time to Call *MorningAfternoonEveningAny Time Notes 7 + 11 = Submit Request