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Located right in the centre of Smithville,
just south of the intersection of Hwy 20 and Griffin St. S.

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Home » Patient Forms » Appointment Request Form

Appointment Request Form

If this is an emergency, do not contact us via email, please use our emergency
contact information
.

Complete the following form:

  • Please fill in the form below to setup an appointment.
  • Please provide a reason for your appointment. *Please do NOT send private information on this form.*
  • Please let us know when you would prefer to have your appointment. Our hours are listed on our location page.
    Please let us know if you are a new or existing patient.
  • :
  • This field is for validation purposes and should be left unchanged.

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Dear Valued Patients:

We want to thank you for your continued trust as we maneuver through the challenges faced from COVID-19.  We are happy to be here for all your eye care needs and appreciate your patience with our appointment schedules. Please call us if you have any questions or concerns for exams, repairs or purchases as the door will continue to be locked to assist us in maintaining physical distancing within the office.

We want to communicate our enhanced office infection control in order to ensure good health for everyone.

THANK YOU FOR HELPING US KEEP EVERYONE SAFE!

 

 

 

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Stay up to date on our COVID-19 pandemic protocols Read Our Blog Post…

We are gradually opening our office to scheduling exams for our patients. Contact the office to schedule an appointment but please be aware that we have a limited amount of spaces each day. We will do our best to see you in a timely fashion.

Stay COVID safe!