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Patient Registration Form

IF YOU’VE REACHED THIS PAGE AFTER REQUESTING AN APPOINTMENT, WE WILL CONTACT YOU SHORTLY TO CONFIRM THE DATE AND TIME.

To speed up your office visit, please complete the form below:


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Due to the COVID-19 pandemic, we will be closed for regular business until further notice. 

We will be taking phone calls for emergencies and pickups. 

For our existing contact lens patients, if you are running low on contact lenses, please call and leave your name and contact number and we will order your contact lenses so you won't miss a day. 

780-467-2244

We apologize for any inconvenience.