Skip to main content
Home » Contact Us » Book An Appointment » Appointment Request Form

Appointment Request Form

  • Please fill in the form below to setup an appointment.
  • We have 2 locations to serve you better. Our main clinic is still located at 265B Concession Street. Our satellite clinic is located in the east end of Kingston at 677 Innovation Drive, Unit 5, just off Highway 15.
  • Please let us know when you would prefer to have your appointment. Our hours are listed to the right or below
  • MM slash DD slash YYYY
  • Special considerations include anything your Optometrist should know ahead of your appointment (eg. poor mobility, interest in contact lenses, English as a second language)
  • This field is for validation purposes and should be left unchanged.

In February 2022, the Ministry of Health issued an extension of expired Health Cards until September 30th, 2022.  The date is nearing and we wish to remind you to check the expiry date of your health card prior to your appointment if it's after October 1st, 2022. ALL RED&WHITE health cards without expiry dates will no longer be valid after September 30th, 2022.

IF YOUR HEALTH CARD IS EXPIRED, YOU WILL NOT HAVE OHIP COVERAGE STARTING OCTOBER 1, 2022 AND YOU WILL BE REQUIRED TO PAY OUT OF POCKET FOR YOUR HEALTH SERVICES.