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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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Please be advised that we will not be seeing any children, seniors or OHIP insured eye exams as of September 1st due to province wide Job Action.  To learn more about this, please visit saveeyecare.ca

**Unfortunately, provincial law prevents anyone from paying for any OHIP insured service, even if you have your own insurance.**