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Home » Contact Us » Patient Intake Forms

Patient Intake Forms

Please select one of the following forms that is best suited for you.

Printable PDF Form

You can print the following form, complete it at home, and bring it with you to your appointment.

Online Form

You can submit the following form completely online. No need to print!


In compliance with the Ministry of Health and the College of Optometrists of Ontario, we are re-opening our clinics to routine care effective immediately. Our office protocols have changed considerably. Please refer to our COVID-19 Building Entry Policy