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Molalla Family Eye Care  

Book an appointment at Molalla Family Eye Care
You can book an appointment in Molalla or Milwaukie. Are you a returning customer? It's okay if you've never used one location or the other: both are available to you. Feel free to choose what's most convenient on a given day.

To get started, either fill out this form, or give us a call. Please note, appointment times are subject to availability, although we'll do our best to accommodate your preferences. We'll be in touch via phone or email to confirm the time.
 

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Dr. J. Wallace Walker, O.D.
Dr. Christopher Jacob, O.D.

Molalla Family Eye Care
Patient Form

Click to print

 
  Molalla Clinic Appointment Request
Name:
Email:
Phone:
New Patient?        Yes     No
Your Doctor?        Dr. Walker     Dr. Jacob
Reason for
your visit?
  Request an Appointment Date
  Requests must be made at least one day in advance.
Preferred Date
Preferred Time
  Important: Please note that the date and time you requested may not be available. We will contact you to confirm your actual appointment details.

                                     

 

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