Charleston Animal EyeAppointment Request

Use the form below to request an appointment. Someone from our team will contact you to confirm your appointment.

Please bear in mind that this is a request only and your appointment will need to be confirmed by a team member prior to it being scheduled. Also, if you make a request over the weekend, we may not see that until we re-open on Monday.

Cancelation Policy

At Charleston Animal Eye Specialists we strive to give our full attention to each patient and owner during their appointment. This requires us to hold enough time in our day for you to have all your concerns and questions answered. Due to this consideration, we have the following cancelation policy: If an appointment is canceled within 24 hours on TWO separate occasions, we require a $75 non-refundable deposit to schedule the next appointment. This $75 is then applied to your visit.

Are you a new or existing client? *

New client
Existing client

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Phone *

Is this a cell phone number? *

How would you like to be contacted for appointment reminders? *

Email
Text
Phone Call

Name of Primary Veterinarian *

Name of Clinic *

Pet's Name *

Species *

Date of Birth or Age *

Sex *

Male
Male Neutered
Female
Female Spayed

Breed

Your pet’s eyesight seems to be: *

Excellent
Fair
Poor on occasions
Poor in dim/dark light
Poor with objects nearby
Poor with objects far away

Has your pet had any other eye problems in the past? *

Does your pet suffer from any other illnesses? *

Please list: *

Is your pet on any other medications? *

Please list: *

Reason for appointment: *

Preferred appointment day: *

Monday
Tuesday
Wednesday
Thursday
Friday

Preferred appointment time: *

Morning
Afternoon

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Contact

P: 843-790-9088
E: [email protected]

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Address

1716 Ashley River Road
Charleston, SC 29407

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Hours

Mon, Tues & Fri: 8:30 am - 5 pm
Wednesday: 8:30 am - 2:00 pm
Thursday: 8:30 am - 6:00 pm

By appointment

Photos by Little Runaway Photography