Virtual Eye Care Office Visit
We can provide immediate virtual care for certain eye conditions to patients currently in Georgia or Alabama.
First, we need to collect some information and we will contact you with more details ASAP. This form will help us determine which type of visit is best for you.
Best Time of Day to Reach You
9:00 am to noon
Noon to 3:00 pm
3:00 pm to 7:00 pm
What best describes the condition you are calling about today
Comprehensive Eye Exam
Red Eyes / Pink Eye
Discharge / Watery Eye
Itchy / Uncomfortable Eye
Bump(s) on Eyelid
Seeing Flashing Lights / Floaters
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This form was created inside of Small Town Eyecare Partners.