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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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A note to our valued patients,

Please note that our Sherwood Park 587-414-6185 and North Edmonton 587-410-5920 locations are open for routine eye care are excited to announce that our Downtown Office 587-414-6132 is now open from 9:00 am – 3:00 pm Monday through Friday.

Please be aware that due to social distancing there may delays in the office, we apologize in advance. Click here for more information regarding what steps we are taking to ensure your safety in the office.