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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.
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  • This field is for validation purposes and should be left unchanged.
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Dear Patient,

The health and safety of our patients, staff, and doctors are our utmost concern, so as our practice transitions back to our regular office hours, we are implementing the following COVID-19 patient policy guidelines.

Before your appointment:

  1. Please reschedule your appointment if you become unwell, experience any flu-like symptoms, or come in contact with anyone posing a threat of transmitting the COVID-19 virus.
  2. Plan on coming to your appointment alone or accompanied by one primary caregiver.
  3. Our staff will be required to wear masks when interacting with patients. Although not required per Governor Abbott’s executive order, we are recommending you wear some type of face mask or face covering during your visit.

At your appointment:

  1. Our staff will be checking your temperature upon your arrival. If you have a fever (100.4° F) or are otherwise unwell, then we will reschedule your appointment.
  2. Please practice measures for social distancing, face covering, hand hygiene, cough/sneeze etiquette, and avoid touching your face. We will provide hand sanitizer for you convenience.

Thank you for your cooperation and consideration, and please contact us with any questions or concerns at 512-336-2371 or at info@balconeseyecare.com.

We wish all of you well,

The Doctors and Staff at Balcones Eyecare