Due to COVID-19 our office is open by appointment only. When you arrive at the office please stay in your vehicle and call 306-585-2424 to check-in. We will review your information over the phone and will let you know when we are ready to welcome you into the office. Effective immediately wearing of masks in office is now mandatory. Thanks for your cooperation!

Adult Patient History

Ocular History

Was your last eye exam at our office?

If no, who did you last see and when?

Do you see an Ophthalmologist (specialist)?

If yes, who do you see?

Do you wear glasses?

If Yes:

Do you wear contact lenses?

Do you wear sunglasses?

Does your job/hobby require safety glasses?

Visual Concerns and History

Please check all that apply

Medical History

Please check all that apply

Please list your medications or supplements below or bring a list:

Our Office Hours


8:30am - 12:00pm
1:00pm - 5:00pm


8:30am - 12:00pm
1:00pm - 5:00pm


8:30am - 12:00pm
1:00pm - 5:00pm


10:00am - 2:00pm
3:00pm - 7:00pm


8:30am - 12:00pm
1:00pm - 5:00pm

Closed Saturday, Sunday and Stat Holidays