Virtual Consultation Request Form

Drop us a line!

Consultation brought to YOU

Pick up medicine at your local pharmacy

Pick up medicine at your local pharmacy

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From the form submitted, if your eye condition is appropriate for a virtual consultation our specialist ophthalmologist will contact you to arrange the consultation, explain your diagnosis, and provide a report

Pick up medicine at your local pharmacy

Pick up medicine at your local pharmacy

Pick up medicine at your local pharmacy

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Please provide us with an email or fax of your local pharmacy so a prescription can be sent for you to pick up any medicines that have been prescribed by our ophthalmologist following your virtual consultation