Holiday Closure Announcement

We wish to inform our valued patients that we will be closed for the festive period starting December 23rd. Regular operations will resume on January 6th. Wishing you a joyous holiday season and a Happy New Year! For any urgent inquiries, feel free to contact us before December 23rd, and we'll be happy to assist.

File Release Consent Form

Name: Little Lake Family Eye Care
Address: 11 Lakeside Terrace #102, Barrie, ON, L4M 0H9, CA
Telephone: 705-503-3937
Price range: $000 - $300

Release File Consent Form

Today's Date (mm/dd/yyy)*
MM slash DD slash YYYY
Name*
First Last
Date of Birth (mm/dd/yyyy)*
MM slash DD slash YYYY
From : Clinic name or Doctor's name*
Clinic Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Clinic Phone Number
Consent
I hereby consent to have my files released to Little Lake Family Eye Care.
Signature
Please fax files to 705.503.3938 or email to littlelakefamilyeyecare@gmail.com

Release File Consent Form

Please fax files to 705.503.3938 or email to littlelakefamilyeyecare@gmail.com

Little Lake Family Eye Care