Book an Appointment

Schedule your visit to Dr. Richa's Eye Clinic

Schedule Your Visit

Fill out the form below to request an appointment at Dr. Richa's Eye Clinic. We'll confirm your appointment via phone or email.

Full Name *

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Email Address

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Age *

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Sex *

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Preferred Date *

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Preferred Time *

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Primary Eye Issue

Referral Information (if any)

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Emergency contact information coming soon