Order Contacts
Request an Appointment
(701) 757-2121
Directions
Order Contacts
Request an Appointment
(701) 757-2121
Directions
Menu
Home
About
Our Team
Patients
Online Forms
Patient Portal
Our Policies
Appointments
Services
MacuLogix®
Eye Disease Management
Contacts
Sunglasses
Glasses
LASIK
Eye Exams
Optomap Retinal Imaging
Contact
How Did We Do?
How Did We Do?
Office Hours
MON:
9:00am - 6:00pm
TUE:
9:00am - 6:00pm
WED:
9:00am - 6:00pm
THU:
9:00am - 6:00pm
FRI:
9:00am - 3:00pm
SAT:
Closed
SUN:
Closed
Call Us:
(701) 757-2121
Our Office
1401 28th Ave S,
Grand Forks, ND 58201
Request an Appointment
Please use this form for general information purposes only. DO NOT send personal health information through this form. Specific patient care must be addressed during your appointment.
Please complete the following form to request an appointment. Please also note that availability will vary depending on your request. Your appointment will be confirmed by phone by a member of our staff. Thank you!
Name
*
Phone
*
Email
*
Preferred Date
*
MM slash DD slash YYYY
Preferred Time
Morning
Afternoon
Evening
Nature of Visit
Name
This field is for validation purposes and should be left unchanged.
Call Us
Text Us
Skip to content
Open toolbar
Accessibility Tools
Accessibility Tools
Increase Text
Increase Text
Decrease Text
Decrease Text
Grayscale
Grayscale
High Contrast
High Contrast
Negative Contrast
Negative Contrast
Light Background
Light Background
Links Underline
Links Underline
Readable Font
Readable Font
Reset
Reset