Please use this form for general information purposes only. DO NOT send personal health information through this form. Specific patient care must be addressed during your appointment.Please complete the following form to request an appointment. Please also note that availability will vary depending on your request. Your appointment will be confirmed by phone or email by a member of our staff. Thank you!You can also text us directly at (650) 726-3937 to schedule your appointment.Name* Phone* Text messages opt-in I allow HMB Optometry to contact me through text messages.Email* Preferred Date MM slash DD slash YYYY Preferred TimeMorningAfternoonEveningMessage*NameThis field is for validation purposes and should be left unchanged.
