Phone: (605)987-2841 FAX: (605)987-2810 Request an Appointment Online Appointment RequestFirst NameLast NameDate of BirthEmailPhone NumberReason for Appointment Routine Exam (Glasses/Contacts) Cataracts Diabetic Eye exam Glaucoma Macular Degeneration Sore Eye Other I understand that by completing this online appointment request, I will not have an appointment scheduled until contacted by Canton Family Vision Clinic. Submit Canton Family Vision Clinic will contact you 24-48 hours after receiving your request. Holidays and weekends may delay response time.If this is an eye emergency or you need to be seen sooner please call 605-987-2841.