Please fill out the contact form below and we will get back to you as soon as possible. 

Name *
Agreement *
By checking the below box you are indicating your consent that we may use your information for the following purpose: responding to this form. This consent is voluntary. If you consent to this use, you may revoke your consent at any time by contacting us at:

The American Academy of Orthokeratology and Myopia Control (AAOMC) 

Phone:  630-659-8668

Address:  2853 E. New York Ave., Suite B
                  Aurora, IL 60502