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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!

As regulated health professionals, we are remaining open during the winter 2021 lockdown. We are continuing to follow health and safety guidelines as set out by the College of Optometrists of Ontario and the Government of Ontario.

Our hours of operation have changed as we are currently seeing patients by appointment only for ALL visits (including glasses adjustments, etc). Please contact our office to book an appointment as needed.

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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