Please use the form below to book your appointment and one of our receptionists will contact you to confirm your appointment time. IF THIS IS AN EMERGENCY, PLEASE CALL OUR OFFICE DRIECTLY AT 613-825-3931.
New or Existing Patient? *
Do you wear contact lenses? *
Name *
Name
Date of Birth *
Date of Birth
if you are booking for multiple family members please complete this section.
Name
Name
Complete for family member.
Date of Birth
Date of Birth
Name
Name
Complete for family member.
Date of Birth
Date of Birth
Name
Name
Complete for family member.
Date of Birth
Date of Birth
Phone *
Phone
Please choose the date and time that will work best for your schedule. Our reception staff will do their best to book your preferred time, and will contact you to confirm your appointment.