Schedule Your Consultation

RDV - EN

Choose Appointment Type *

Warning: This appointment is strictly for vision correction surgery consultations (e.g., LASIK). We do not conduct exams for renewing glasses or contact lens prescriptions.

Personal Information
Date of Birth
Additional Information
Consultation Request

REQUEST SUMMARY

Appointment Type:

Full Name:

Phone:

Email:

Date of Birth: --

Comments:

REQUEST SUMMARY

Appointment Type:

Full Name:

Phone:

Email:

Date of Birth: --

Choose your treatment:

Comments:

REQUEST SUMMARY

Appointment Type:

Full Name:

Phone:

Email:

Date of Birth: --

Choose your treatment:

Comments:

REQUEST SUMMARY

Appointment Type:

Full Name:

Phone:

Email:

Date of Birth: --

Do you wear contact lenses? :

Prefered clinic:

Comments:

Sending this form does not constitute a confirmation of an appointment. We will contact you within 24 to 48 hours to finalize your request. Please note that waiting times may be longer during peak periods.

If this is your first appointment at our clinic, a referral from your optometrist or family physician will be required. You may attach it to the form above.

If you wish to change or cancel an already scheduled appointment, click here.