Appointment Request Form For our Narrows Family Eye care use this link. For our Sylacauga Eye Clinic fill out the following form. Please fill in the form below to setup an appointment.Select Location*Sylacauga, ALEyes on Chelsea Vision CenterReason 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 to have your appointment. Our hours are listed on our location page.Patient Type*New patientReturning patientPlease let us know if you are a new or existing patient.Name* First Last Phone*Email* Best Time to be Reached for Confirmation* : HH MM AM PM CommentsNameThis field is for validation purposes and should be left unchanged.