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LASIK HOTLINE 480-525-7672

Book an appointment or Call 602-467-4966

Prescription Refill Requests

Date*: Patient Name*: Patient Date of Birth*: Doctor Name*: Phone Number*:
Name of Requested Prescription(s)*: Pharmacy Name: Pharmacy Phone Number*: Comments: *Required fields
**Requests take 24 hours to process. Requests made on weekends/holidays will be responded to on the next business day.
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Our Locations

  • Scottsdale
    18325 N. Allied Way, Suite 100
    Phoenix, Arizona 85054
  • Peoria
    16150 N. Arrowhead Fountain Ctr. Dr.,
    Suite 150
    Peoria, Arizona 85382

  • Downtown
    3030 N. 3rd St., Suite 1250
    Phoenix, Arizona 85012
  • Goodyear
    2580 N. Litchfield Rd
    Goodyear, Arizona 85395

Call (602) HORIZON to schedule appointments at any of our offices. Fax (480) 419-5401

For LASIK, call our LASIK Hotline at 480-525-7672 from 5:30AM to 7PM on weekdays and 9AM to 3PM on weekends.


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