Book an Appointment

Please use the form below to book your appointment and one of our receptionists will contact you to confirm your appointment time. If this is an emergency, please call Richmond Village Eye Care Centre directly at 613 838 4308.

Reason for Appointment*

Message

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New or Existing Patient?*

New PatientExisting Patient

Do you wear contact lenses?*

YesNo

Title*

Name*

Date of Birth*

Phone*

Email*

Please choose the date and time that will work best for your schedule. Our reception staff will do their best to book your preferred time, and will contact you to confirm your appointment. Our convenient hours are listed in to the right of this form.

Preferred Date*

Preferred Time of Day*

MorningAfternoonEvening

613 838 4308

6179 Perth Street
Richmond ON K0A 2Z0