Appointment Request Form

Name: Clarity Optometry
Address: 1962 Rymal Road East, Unit 1, Hamilton, ON, L0R 1P0, CA
Telephone: 905-692-EYES (3937)
Price range: $000 - $300

Please fill in the form below to setup an appointment.
Reason for Appointment
Please provide a reason for your appointment. Details are stored securely and not sent by email.
Preferred Date & Times*
Please let us know when you would prefer to have your appointment. Our hours are listed on our location page.
Patient Type*
- New patient
- Returning patient
Please let us know if you are a new or existing patient.
Name*
First Last
Phone*
Email*
Best Time to be Reached for Confirmation*

: Hours

Minutes
Comments
Name
This field is for validation purposes and should be left unchanged.

To our valued patients:

We are open to serve you!

We are now available for routine eye exams and dispensing of glasses and contact lenses. As per Ministry of Health guidelines we are practicing ongoing disinfection routines, physical distancing and our Team members will be wearing face masks/shields at all times. Our patient and staff safety is our utmost priority.

Thank you for your patience over the past few months. See you soon!

The Team at Clarity Optometry