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new appointment form test

Appointment Request Form - Roslyn Office

  • MM slash DD slash YYYY
  • Note Availability:
    Susan Resnick, O.D.:
    Wednesday 12:30 pm - 5:30 pm
    Friday 8:00 am - 1:00 pm
    Saturday 8:00 am - 12:40 pm

    Kevin Rosin, OD:
    Monday 10:20 am - 1:00 pm; 3:00 pm - 6:00 pm

    Optical Open
    Monday, Wednesday, Thursday, Friday and Saturday
  • Please select 3 appointment dates/times. If you require immediate assistance, please call our Roslyn office at 516-365-4500
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • All patients should bring all eyeglasses to their appointment. All contact lens wearers should arrive at their appointment wearing their contact lenses.
    * Please note - The requested appointment time (s) may not be available. We will contact you to confirm your actual appointment date and time.
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