Call (613) 507-0707

745 Gardiners Rd. Unit 3

Kingston, ON K7M 3Y5

Open Hours

Mon - Thu: 8:30am - 5:00pm

Fri: 8:30am - 4:00pm

Appointment Request Form - Existing Patients

This form is for existing patients wanting a comprehensive eye exam. If you require any other appointment type, aside from a full comprehensive exam, please call our office.

If you do not require an eye appointment and ONLY require an appointment with one of our Opticians for a repair, pick-up, or adjustment, please use our Contact Us form, and one of our opticians will contact you directly.

Our online forms are secure and PIPEDA compliant.

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Comprehensive Eye Exam Request

If you prefer to see a specific doctor, please make sure to check the doctor's schedule before requesting a time. Click Here to View Doctors' Schedule
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Patient Information Updates

Please complete if any of the following have changed since your last exam



COVID-19 Screening Precautions

I certify that I will not come to my appointment if any of the following apply:
1. I have cold or flu like symptoms (such as fever, cough, shortness of breath, sore throat, runny nose, sneezing, difficulty swallowing, nausea, chills, headache).
2. I have travelled outside Ontario or have had close contact with anyone that has travelled outside Ontario within 14 days of my appointment.
3. I have had close contact with anyone with respiratory illness or a confirmed or probable case of COVID-19 within 14 days of my appointment.

You must certify that you agree to COVID Screening Precautions.