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Appointment Request Form

  • Please fill in the form below to setup an appointment.
  • Please provide a reason for your appointment. Details are stored securely and not sent by email.
  • Please let us know when you would prefer to have your appointment. Our hours are listed on our location page.
    Please let us know if you are a new or existing patient.
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  • This field is for validation purposes and should be left unchanged.

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*END-OF-YEAR PROMOTION*

Beginning November 1st, refer a friend or family member for an eye exam to be entered into a draw to win your choice of eye wear! Terms and restrictions apply. Please call (905) 898-2251 or email staff@bridgeoptometry.ca for more details.