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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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Welcome back to all our patients!

Our office is now open by appointment ONLY.

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.

Please click the OFFICE UPDATES tab to see our updated policies and procedures.

We look forward to seeing you soon.

Harbourview Optometry Centre