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Located at Empress Walk, Yonge St., North York, Ontario, direct subway access
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Home » Contact Us » Appointment Request Form

Appointment Request Form

If this is an emergency, do not contact us via email, please use our emergency contact information.

To request your next appointment, please complete the form below and let us know the most convenient time and date for you. Please don’t forget to include accurate contact details so we can follow up with you to finalize your request.

  • If this is an Emergency, don't contact us via this form or by email.
  • Please provide a reason for your appointment. Details are stored securely and not sent by email.
  • Please let us know when you would prefer to have your appointment. Our hours are listed on our location page.
    Please let us know if you are a new or existing patient.
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  • Refer a Friend

    When you refer a friend to our practice, and after they've scheduled the exam, seen the doctor & purchase glasses or contact lenses, both you and your friend will receive $20 OFF Eyewear from our optical boutique on your next purchase of eyewear! Reward will only given after the appointment and eyewear purchase has been completed.
  • This field is for validation purposes and should be left unchanged.