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Appointment Request Form

To request your next appointment, please complete the form below and we will contact you with our first available appointment time. Please don’t forget to include accurate contact information so we can follow up with you to finalize your request. Thank you!

**ALL INFORMATION IS REQUIRED**

  • Please fill in the form below to setup an appointment.
    Please let us know if you are a new or existing patient.
  • Year/Month/Day
  • Please provide a reason for your appointment. Details are stored securely and not sent by email.
  • This field is for validation purposes and should be left unchanged.

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Note to Our Patients!

Our office is now open by appointment ONLY.

Eye care is deemed an essential service by the Province of Ontario.  As a result our office will stay open during the Stay at Home order.

Under the guidance of The College of Optometrists of Ontario and the Ministry of Health, we will be following strict guidelines to make sure we keep you and our staff safe.

We look forward to seeing you soon.

Harbourview Optometry Centre