• LivingHope Vision Clinic Patient Registration Form

    Thank you for visiting Livinghope Vision Clinic. Please fill in the form below. Our Staff member will schedule you to book an eye exam.
  • Fever Headache Chills
    New or worsening cough Shortness of breath Sore throat
    Runny nose, sneezing, nasal congestion Hoarse voice Difficulty swallowing
    New smell or taste disorder(s) Nausea/vomitting, diarrhea, abdominal pain Unexplained fatigue/malaise

     

  • Unfortunately, we can not accommodate you at this time.


    Seek immediate medical attention if you have serious symptoms. Always call before visiting your doctor or health facility.

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  • Health Card Information

    (if you don't have OHIP card, please call our office to book an appointment )

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  • Pre-Test information

    The information you provide in this section is important and will help your doctor to diagnose your eye condition. Please enter as much information as you can.

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