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Located inside Macy's Ala Moana


Home » For Patients » Appointment Request Form

Appointment Request Form

  • Please fill in the form below to setup an appointment.
  • Please provide a reason for your appointment. Details are stored securely and not sent by email.
  • Please let us know when you would prefer to have your appointment. Our hours are listed on our location page.
    Please let us know if you are a new or existing patient.
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  • This field is for validation purposes and should be left unchanged.

Macy's Eye Care has the ethical, social and professional responsibility of preventing the spread of COVID-19.  In an effort to keep everyone safe during the pandemic, we are constantly sanitizing, social distancing, and requiring the proper use of approved masks while in our clinic setting.  Sorry, no exceptions.  If you are unable to comply with our current mask policy due to medical/religious/personal reasons, your appointment will be cancelled or postponed indefinitely and we will provide you with a list of urgent care facilities that may be better equipped to serve you.  We appreciate your patience, cooperation, and understanding.

Thank you for trusting us to keep you and your loved ones safe.

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You can now TEXT us to request an appointment 🙂

Please include your name, preferred date and time.