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Patient Registration Form

Please complete the information below and submit the form online, or if you prefer print out the form after full or partial completion, and bring it when you come to our office.

This form contains confidential information and is delivered to your doctor through a secure Internet connection.

 

AS OF MARCH 17, 2020 WE WILL BE

RE-SCHEDULING ALL ROUTINE EYE CARE

APPOINTMENTS UNTIL FURTHER NOTICE

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FOR EYE EMERGENCIES AND OTHER INQUIRIES

PLEASE CALL 519-624-2020 OR EMAIL US AT

INFO@CAMBRIDGEEYECARE.COM

OUR DOCTORS WILL ALSO BE AVAILABLE 

TO TRIAGE YOUR EYE QUESTIONS OVER THE PHONE

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