Book Your Appointment

Whether you are shopping for new glasses or visiting our optometrists, we look forward to seeing you!

Name

First Name

Last Name

Are you between the ages of 20-64?

Yes

No

Are you a current patient?

Yes

No

Tell us some times and dates that work for you.

Phone

(###)

###

####

Email

Subject

Reason for your visit?

Preferred Optometrist

Anything else we should know?

* If you are having an ocular emergency, please contact the clinic directly at 519.885.2020. *

If you are having an ocular emergency, please contact the clinic directly at 519.885.2020.

Any questions?