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Doctors Referral Request Form – Online

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Referral Request Form – PDF

Please ensure all contact information is filled out. An email address must be provided.

Urgent Referrals

For all urgent referrals please fax or submit your online referral and call 416 – 748 – 7116 to confirm receipt and triaging of same-day appointments. Note: this number is designated for provider use only. Please do not distribute it to patients.

If you have any questions, email us at: [email protected]. Thank you again for choosing us to be your partner in eye care.

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