Flaum Eye Institute / Locations / Finger Lakes Eye Care - Geneva NY / Non-urgent Appointment Request

Schedule a Routine Eye Exam at our Geneva NY Office

You can use this form to request a routine eye exam with physicians at the Flaum Eye Institute Finger Lakes Center only.

Request A Non-Urgent Appointment

For questions about your appointment, please contact us at (315)789-4922. Use this form to request a non-urgent appointment only. All requests will be processed within 24 hours during regular business hours, Monday - Friday, 8:00 am-4:30 pm. If you are experiencing an eye emergency during normal business hours, please call (315) 789-4922.

Contact Information First Name:

Last Name:

Address:

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Year of Birth:

Home Phone Number:

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Work Phone Number:

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Email:

Vision Insurance Provider:

Appointment Information Contact me between 8:00 a.m. and 4:30 p.m. via:

Home PhoneWork PhoneEmail

Do you wear contact lenses or prescription glasses?:

YesNo

Please indicate your first choice for day and time.

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