Uptown eye specialists referral form 2026

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  1. Click ‘Get Form’ to open the uptown eye specialists referral form in the editor.
  2. Begin by entering the referring doctor's information, including their name and contact details. Ensure all fields are filled out legibly to avoid processing delays.
  3. Next, provide the patient's details such as first name, last name, health card number, and date of birth. Select the gender option that applies.
  4. Indicate the urgency of the consultation by checking one of the options: Routine, ASAP, or Urgent. If there are any special requests, please specify them in the designated section.
  5. In the reason for referral section, check or circle all applicable conditions to ensure accurate processing of the referral.
  6. Finally, review all entered information for accuracy before submitting. Incomplete forms will not be processed.

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For appointment inquiries, please email us: info@uptowneye.ca. Please note that during peak hours, emails typically receive a quicker response.
If you prefer to speak with our Customer Service Center, you may contact them toll-free at 1-800-669-1183 or by email at customerservice@visionworks.com.
Ophthalmologists. Ophthalmologists (eye surgeons) are doctors that specialise in the medical and surgical care of the eyes and visual system. They also look into the prevention of eye disease and injury. An ophthalmologist treats people of all ages, from premature babies to the elderly.

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If you require support to complete, please contact our patient services team on 0800 086 1064 or email eyecare@optegra.com.
We aim to care for our patients compassionately in a technologically cutting edge environment using the latest advances in clinical research. For appointment inquiries, please email us: info@uptowneye.ca. Please note that during peak hours, emails typically receive a quicker response.

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