Appointment Request – Existing Patients

Name: Richmond Hill Optometric Clinic
Address: 1650 Elgin Mills Rd E #214, Richmond Hill, ON, L4S 0B2, CA
Telephone: 905-883-1010
Price range: $000 - $300

Please fill in the form below to setup an appointment.
Reason for Appointment
- Eye Exam
- Contact Lenses
- Medical Exam
- Specialty Contact Lens Consult
- Ortho-K Consult
- Other
Preferred Date & Times*
Please let us know when you would prefer to have your appointment. Our hours are listed on our location page.
Patient Type*
- New patient
- Returning patient
Please let us know if you are a new or existing patient.
Name*
First Last
Phone*
Email*
Best Time to be Reached for Confirmation*

: Hours

Minutes

AM/PM
Comments
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Appointment Request – Existing Patients

Richmond Hill Optometric Clinic

VISION
THERAPY

DRY EYE
TREATMENT

MYOPIA
MANAGEMENT

SCLERAL
LENSES

EYE
DISEASE

Richmond Hill Optometric Clinic

VISION THERAPY

DRY EYE TREATMENT

MYOPIA MANAGEMENT

SCLERAL LENSES

EYE DISEASE

VISION
THERAPY

DRY EYE
TREATMENT

MYOPIA
MANAGEMENT

SCLERAL
LENSES

EYE
DISEASE