If you would like to request an appointment online then please complete this form and we will confirm your appointment during working hours, Monday through Friday 10:00 a.m. – 5:00 p.m.

For our deaf customers we are available for appointments on the second Wednesday of every month:

5:00 p.m. - 7:00 p.m.

As a service to our deaf customers we also provide free transportation from Grosvenor Metro Station

General Eye Exam Hours :

Monday and Wednesday   5:30 p.m. - 7:00 p.m
     
Friday   2:30 p.m - 5:00 p.m
     
Saturday   3:00 p.m - 5:00 p.m

 

PERSONAL INFORMATION
First Name 
Last Name 
Address
Daytime #
city, state
E-mail 
*
zip
Alternative #

I WANT TO MAKE AN APPOINTMENT FOR:
Eye Exam and/or contact lens exam with Dr. and frame fitting with Optician (with ASL interpreter)
               
Eye Exam with Dr. and frame fitting with Optician (no ASL interpreter)
               
Eye Exam with Dr. (no ASL interpreter)
   
Need No Exam and have current prescription (2 years) and need ASL interpreter
   
Other - Please explain below in additional comments
 
CHOOSE DAY AND TIME FOR EYE EXAM APPOINTMENT
Todays Date
   
At this point we are available one day a month to service our deaf clients.
Tuesday  
   

please make appointments 48 hours in advance.

If none of these times is convenient for you please contact David and we will try and work something out for your schedule.

FOR OUR DEAF CUSTOMERS:

I will bring an ASL interpreter with me
             
ADDITIONAL COMMENTS      
   
     

you will recieve confirmation within 24 hours

   
   
 
Store Hours : Monday - Friday 10:00 a.m - 7 p.m., Saturday 10:00 a.m - 5:00 p.m
David Opticians | Cabin John Shopping Center | 7741 Tuckerman Lane | Potomac MD 20854