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We are now open by appointment only for routine eye care.

To view the protocols and procedures we are putting into place to ensure your safety as well as the safety of our staff, please click here.

Home » Contact Us » File Release Consent Form

File Release Consent Form

Release File Consent Form

  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Please fax files to 705.503.3938 or email to littlelakefamilyeyecare@gmail.com