Appointment Request

Use this form to request an appointment with us. While we will do our best to accommodate your requested day and time, please note, your appointment is not fully booked until you get a confirmation from us!

*Please read through our Late Arrival, Cancellation, and No Show Policy.*

LATE ARRIVAL POLICY: If a patient is 15 minutes late or more for an appointment, the appointment needs to be rescheduled. This is to ensure that patients who arrive for eye exams on time do not wait longer than necessary and it ensures that everyone receives quality and timely care. All patients are encouraged to arrive at the office at least 10 minutes prior to the scheduled appointment to register and complete any required paperwork.

APPOINTMENT CANCELLATION POLICY: Appointments that are not canceled by one (1) business day prior to your scheduled appointment will be subject to a $50 fee.

There is no charge for rescheduling or canceling an appointment if Hill Opticians is notified 24 hours prior to your appointment. Fees may be waived due to family or health emergencies at the office's discretion.

NO SHOW POLICY: Any patient who fails to show for their scheduled appointment will be subject to a $50 fee.

The fee is charged to the patient, not your insurance company, and is due before the patient's next office visit.

As a courtesy, we make reminder calls or emails for appointments. If you do not receive a reminder call, message, or email, the above policy remains in effect.

Appointment Request Form

Submit the following information to request an appointment - Please note, Dr. Gallagher can only take appointments on Fridays.