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Home » Contact Us » Appointment Request Form

Appointment Request Form

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

To request your next appointment, please complete the form below and let us know the most convenient time and date for you. Please don’t forget to include accurate contact details so we can follow up with you to finalize your request.

  • 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.
  • :
  • This field is for validation purposes and should be left unchanged.

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Due to the California order to “stay at home”, our office will be closed for routine visits. We will be available for patient emergencies.

-If you consider that you have an emergency, call us at 951-609-9099. If it is after office hours, leave a message and a staff member will get back to you.

-If you have glasses or contacts to pick up, a staff member will be in the office from 9 am- 5 pm Monday thru Friday and 9 am- 4 pm on Saturday. Call the office at 951-609-9099 when you are at our front door and the staff will bring your item(s) to you.

-If you are a contact lens wearer and are getting low, call our office so that we can arrange to have an emergency supply shipped directly to your home.

-If you are having an eyewear emergency, please call us so that we can help.

Any questions, call us!

Stay healthy,

Dr. Wilson and the Bear Creek Eye Care Optometry staff

951-609-9099