First Nations Approvals

First Nations Approvals

Community Health Directors, you may use this form to sign patients up for our upcoming eye care clinics.

First Nations Community (required)

Your Last Name

Your First Name

Birth Date (required)

Status Number (required)

BC Health Card Number (required)

Phone Number (required)

Your Email

Your Message

We are excited to provide you professional Eye Care services in a comfortable and friendly environment. Please contact us to schedule your appointment today.