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REFER A PATIENT

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SEND A REFERRAL

To refer a patient for a contact lens evaluation, or ortho-k consult, please fill out the appropriate form below and fax it to us.
You will receive a full report after the patient is seen at our office.

All patients advised to return to prescriber for annual primary care and spectacle therapy.
 
*Fax to: 519-968-3695

PLEASE DOWNLOAD THE APPROPRIATE FORM BELOW

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