Appointment Request Form At Accent Vision Specialists we make sure you are getting the best possible treatment! Please fill in the form below to request an appointment. Appointment requests will be responded to in a timely fashion. If you have questions or concerns which require immediate assistance, call us directly at 505-984-8989 Patient Type* New patient Returning patient Please let us know if you are a new or existing patient.Name* First Last Date of Birth* Month Day Year Phone*Email* Reason for AppointmentPlease provide a reason for your appointment. Details are stored securely and not sent by email.Preferred Date & Times*Please let us know when you would prefer your appointment based on date and office hours. Our patient calendars fill up quickly!Best Time to be Reached for Confirmation* : Hours Minutes AM PM CommentsCAPTCHAHiddensource_medium EmailThis field is for validation purposes and should be left unchanged.