Submit the form below and we will contact you to confirm the appointment.
Please complete and print out our patient form here to bring in with you for the appointment.
136 Simcoe St. N.Glazier Medical Centre
Are You An Active Patient?:
I have never been a patient of Dr. Black & Associates OptometristsI am/was a patient of Dr. Black & Associates Optometrists
Type of Appointment:
Eye examFollow-up VisitOther, please specify below