Appointment Request Form

Vision Insurance/ Insurance (if any):
Insurance Number:
I would like an appointment with:

Please select up to 3 appointment dates / times.
If you can't find a convenient appointment time, please call our office

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Please Note: The requested appointment time(s) may no longer be available. We will contact you to confirm your actual appointment date and time.

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  • Envision Eyecare Center

    Patrick J. Barry, O.D.
    Deval A Patel, O.D.

    525 W Wetmore Rd.
    Tucson, AZ 85705

    520-293-2363

    Appointment times may vary due to prior appointments that have been scheduled
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