Dear Consenter:

Prior to conducting either an Optometry Examination or Optician Consultation by Optician On Wheels and its Practitioners, we are required to obtain your Consent as the Patient, or where applicable, the one of your Corresponding Guardian.

 

In this regard, in advance of the Scheduled Eye Examination Date, and to expedite the registration process, as the preferred method, please complete the following Consent Form to ensure that a spot has been reserved.

 

Important Note: Please be advised that without receiving the Signed Consent Form via any of the provided methods of either online or hardcopy prior to the Scheduled Eye Examination Date, regretfully, with no exception, we will not be permitted to conduct Optometry Examination and or Optician Consultation on the Scheduled Eye Examination Date.

 

Yours Truly,

 

Optician On Wheels

1(888) EYEZ-2-GO

1(888) 393-9246

info@opticiannearme.com/

https://opticiannearme.com