New Patient Form

In order to minimize the amount of paperwork, please fill out this new patient form so we are able to address all your eye care needs!

This information will be kept confidential and is intended for office use only.

Hours: 
Mon: 9:30am to 6pm
Tues: 9:30am to 7pm
Wed: 9:30am to 6pm
Thurs: 9:30am to 7pm
Fri: 10am to 3pm
Sat: 9am to 2pm, Alternating Weeks
Sun: Closed

17730 Leslie Street, Unit 110
Newmarket, Ontario  L3Y 3E4
Inside York Medical Health Centre

Tel: (905)836-1112

Thanks for submitting!