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*

: HH

MM
Comments
Phone
This field is for validation purposes and should be left unchanged.

As on Wednesday March 18th, we are closing the practice due to COVID -19 concerns and at the strong recommendation by the Ministry of Public Health and The College of Optometrists of Ontario for a period of 2 weeks.

Thank you for your patience and understanding, We will keep you updated.