Poulsbo Eyecare Center
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Request An Appointment

To request an eye exam or contact lens evaluation, please fill out the form on this page.  First, please take note of a few important details:
  • This form is to be used for routine (non-urgent) service requests only. 
  • This form is to request an appointment only.  Your preferred date and time may not be available.  You will receive a notice of your finalized appointment after our staff processes your request (generally within one business day).
  • You will need to fill out paperwork before your visit.  We prefer if you fill out the electronic forms here as soon as possible after you request an appointment to help us confirm your insurance is accepted at our office.
Thank you for your interest in scheduling with us; we look forward to speaking with you soon!
Contact Us:
19220 8th Avenue N.E., Suite A
Poulsbo, WA 98370
360-779-2336
​[email protected]

Hours:
Monday-Thursday 8:00 am-5:00 pm
​Fridays 8:00 am-3:00 pm

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  • Home
  • Patient Portal
  • Billing & Insurance Info
  • Patient Forms
  • Appointment Request
  • About Us
    • Meet Our Doctors
    • Our Services
    • Location
    • Health & Safety