Intake Forms

Existing Patients

If you have had an appointment at our clinic before, please click the appropriate button below to fill out your intake form online.

Returning Adult Returning Child

New Patients

If this is your first time at our clinic, please click the appropriate button below to fill out your intake form online.

New Adult New Child
Phone: (416) 929-9133
Text: (416) 929-9133
Email: eyedoctor.reception@gmail.com
823 St Clair Ave West
Toronto, Ontario
M6C 1B9