Registration Form

Please select one of the following forms to fill out below. 

These forms will be submitted through our secure portal.

New Patient Exam


Established Patient Exam


New Patient Contact Lens Exam


Established Patient Contact Lens Exam


New Patient Office Visit


Established Patient Office Visit


Location

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Hours of Operaton

Our Regular Schedule

Martinsville Hours

Monday:

8:30 am-5:30 pm

Tuesday:

8:30 am-6:00 pm

Wednesday:

8:30 am-5:30 pm

Thursday:

8:30 am-5:30 pm

Friday:

8:30 am-5:30 pm

Saturday:

Hours Available

Sunday:

Closed

Chatham Hours

Monday:

8:30 am-5:00 pm

Tuesday:

9:30 am-6:30 pm

Wednesday:

8:30 am-5:00 pm

Thursday:

8:30 am-5:00 pm

Friday:

8:30 am-5:00 pm

Saturday:

Closed

Sunday:

Closed

Danville Hours

Monday:

8:30 am-5:00 pm

Tuesday:

8:30 am-5:30 pm

Wednesday:

8:30 am-5:00 pm

Thursday:

8:30 am-5:30 pm

Friday:

8:30 am-5:00 pm

Saturday:

Closed

Sunday:

Closed

Rocky Mount Hours

Monday:

8:30 am-5:30 pm

Tuesday:

8:30 am-5:00 pm

Wednesday:

8:30 am-5:00 pm

Thursday:

8:30 am-5:00 pm

Friday:

8:30 am-5:00 pm

Saturday:

Closed

Sunday:

Closed