Book an Appointment

The first step towards better vision is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Please fill out the Health Analysis form before you visit. 

Should you still have and questions regarding your appointment please call us at 717-718-2393 

Please do not use this form to cancel or change an existing appointment.


Keystone Eye Care Group

Phone # 717-718-2393    Fax # 717-718-7150

*Items in bold are required.
Are you a current patient?

Which office location(s) would you prefer for your appointment?

Preferred day(s) of the week for an appointment?

Preferred time(s) for an appointment?

Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.


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