Patient Intake Form Page

Please fill out the eye care patient intake form below:

Please know that if you are a new (or returning) eye care patient, please fill out the following form for us. It helps us identify your issues and will save you time during your eye exam. If you have any questions regarding this form, please feel free to contact us directly.

We are voted #1 Best Optometrists and Eyeglass Centre in New Westminster for a reason.

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