Request An Appointment

If you need an appointment within the next 24 hours, please call us directly.
_Appointment Request Form (2025)

What's the reason for your visit?

What's the primary reason for your visit? *

Who's the appointment for?

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Are you already a client? *

Welcome! Because appointment times are limited, new clients are asked to prepay the expected exam cost to reserve a time. After you submit this form, we'll reach out to arrange payment and finalize your appointment. If we can't connect within 48 hours, your requested time may be released.

Want to speed things up? Give us a call at (310) 773-9286 during business hours to book and pay directly.