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Appointment Request Form

Don’t have time? Give us a call!

Call 714-421-4636

If this is an emergency, do not contact us via email, please use our emergency contact information.

Complete the following form:

  • 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.
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  • This field is for validation purposes and should be left unchanged.
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Dear All Patients and The Public:

We at South Coast Optometry are closely monitoring the developments around the COVID-19 Coronavirus with our top priority being the health of our patients, teammates, and doctors.

In compliance with Governor Newsom’s Stay At Home Order, our office will be closed effective immediately and will reopen on Monday 4/20/2020 (unless new developments occur that will change our reopening). Please continue to check our website for any changes.

We will always work very hard to earn your confidence in our long term care for you. Thank you for trusting us with your eyecare and vision. Most important, we care for you as a person and wish you continued total health and safety.

We apologize for any inconvenience and look forward to seeing you soon!

Sincerely,

The South Coast Optometry Team