Appointment request

If you would like schedule an eye exam, you can either phone our office (905) 892-5191 or fill out the form below. Our staff is ready to assist you. All the fields followed by an * are mandatory.

Referred by
Title
First Name*
Last Name*
Phone ((###)###-####)*
Alternate phone ((###)###-####)
Email*
Do you want to be contacted by email or phone?
- Email
- Phone
Date of birth*
Are you a contact lens wearer?*
- Yes
- No
Preferred day*

Please note that one of our assistants will get back to you within 1 business day.
Hour*
Message/comments
Email
This field is for validation purposes and should be left unchanged.

Address & telephone

Hours