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Home » Contact Us » New Patient Information Form

New Patient Information Form

Please complete the information below and submit the form online, or if you prefer print out the form after full or partial completion, and bring it when you come to our office.

This form contains confidential information and is delivered to your doctor through a secure Internet connection.

Our Office is CLOSED in response to the Coronavirus

We are cancelling all scheduled appointments this coming week (until at least April 5th) but we will be available for urgent matters and emergency care.

Many contact lens orders can still be filled and will be shipped directly to your home. Contact us for more information.

We will be checking phone messages from Monday to Friday 9:00 am until 2:00 pm for urgent matters and for contact lens orders.

The situation is fluid and there is a possibility that the period may be extended. We are complying with the Ministry of Health recommendations and will keep you updated as to any changes. Please come here to see updates or give us a call.