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Patient Intake Form

In an effort to save you time in our office and to facilitate a "Contactless Check-in" process, please complete our online Intake Form through the applicable link: NEW PATIENT INTAKE FORM or RETURNING PATIENT INTAKE FORM or download and complete one of the forms below.

  • You will need AdobeReader® to download and complete the form.
  • Download the required form. You can either complete the form before printing (this is a fillable pdf) or print out the form and complete the required information.
  • Please email your completed form to our office  or bring it with you to your appointment. Email to [email protected]

New Patient Intake Form

intake-form-2020-maple-ridge-eye-care.pdf

Returning Patient Intake Form

returning-patient-intake-form-maple-ridge-eye-care.pdf


Download the Free AdobeReader®

Business Information

Contact Us

Maple Ridge Eye Care
23015 Dewdney Trunk Rd
Maple Ridge, BC V2X3K9

We're accepting new patients.
Languages spoken:
 English, Cantonese, Japanese & Mandarin.

Get Directions

  • Phone: 604-670-4434

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View Our Appointment Cancellation Policy

View our Eyewear Satisfaction Guarantee

Hours of Operation

Our Regular Schedule

Maple Ridge Eye Care

Monday:

9:00 am-6:00 pm

Tuesday:

9:00 am-6:00 pm

Wednesday:

8:00 am-8:00 pm

Thursday:

8:00 am-8:00 pm

Friday:

9:00 am-6:00 pm

Saturday:

9:00 am-4:30 pm

Sunday:

Closed