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Appointment Request 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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COVID-19 UPDATE : OFFICE CLOSURE

We are sad to be temporarily closed and hope to re-open as soon as possible!

*We are still able to process contact lens orders with or without your insurance coverage and can ship them to your house.*

If you would like to contact us or have a question for the doctor, please email us or leave a voice message and

we will get back to you right away. (203) 842-5988 or eyesonelmnewcanaan@gmail.com