Appointment Request Form You can send us an appointment request by completing the following form. Please note that we cannot guarantee that your requested date and time will be available. One of our staff members will contact you to confirm the appointment. If this is an eye emergency during business hours please call (416) 922-5511. New PatientReturning Patient Preferred time of dayMorningAfternoonEvening Reason for VisitRoutine Eye Examination: age 0-19Routine Eye Examination: age 20-64Routine Eye Examination: age 65+Other
