Appointment Request Form

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
Email
This field is for validation purposes and should be left unchanged.

We are open during the pandemic and are keeping a close watch on safety measures!

There is a growing consensus that airborne virus is the biggest source of infection so we are maintaining a limit on the number of people allowed in our offices at any one time. Masks will continue to be mandatory and we will have our ventilation fans on at all times to maintain air circulation. We continue to keep a strict disinfection policy in place

Please click here to read our new protocols.

We encourage you to call or email us to book an appointment for an eye exam or eyewear purchase, in order to prevent any over crowding. We appreciate your understanding and cooperation and look forward to seeing you soon!

Appointment Request Form

Giddens Optometry – Georgetown South

Giddens Optometry – Downtown