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We are pleased to announce that we have reopened our office, as of June 1st, for all types of patient care!!! Routine eye exams, urgent care, buying glasses, contact lenses etc…we are ready for you!

We have missed seeing our patients and are welcoming new patients also! Please call, email, or look on our website to schedule your appointment as we are now booking!

We thank you for your patience during this time and look forward to helping you once again for all your eye care and eyewear needs!

COVID-19 Update: What to Expect in Our Office  Click here to learn more.

Home » Contact Us » COVID-19 Questionnaire Form

COVID-19 Questionnaire Form

COVID-19 Questionnaire

  • Please answer all of the following questions with a yes or a no:
  • If you answered yes to any of the above questions, you will be asked to please kindly reschedule your appointment for after 14 days. This is to further adhere to the safety compliance from the Ministry of Health and our College of Optometry, for all our patients, staff and doctors.

    Our office is taking strict precautions to limit any potential exposure to COVID-19 by sanitizing and disinfecting areas such as doorknobs, waiting room chairs, equipment, exam rooms, frames, restrooms etc, after each patient. All of our staff and doctors will be wearing personal protective equipment as well.

    We ask that you please kindly wear a mask or some mouth covering to your appointment. If you do not have one, you may purchase a mask at our office once you arrive. You will be asked to wash your hands or use sanitizer once you arrive as well.

    Please sign below that you have answered all the questions to the best of your knowledge and understand our office safety protocols.

  • Date Format: MM slash DD slash YYYY