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Appointment Request Form

  • 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.

Accepting New Patients!

Dr. Hannah Burfield recently joined Space Center Eye Associates, with clinical experience in pre/post operative surgical care, pediatrics, low vision, and primary eye care. She has extensive training in managing conditions such as glaucoma, macular degeneration, diabetic eye disease, and more.  Learn more about Dr. Burfield and request an appointment with her today!

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COVID-19 Mask Mandate: Our office will continue requiring our patients and team to abide by the mask mandate.
For additional details regarding this policy, please click here.