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Dr. Michael Chu O.D. (Honors)
Dr. Lauren Sim, O.D., BSc. (Honors)
Eye Class Optometry - A Vision of Care!

#123, 233-16th Ave NW, Calgary, AB T2M 0H5
Tel: 403.984.EYE3 (3933) Fax: 403.984.3936

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Patient History Form

Please print out the Patient History Form, complete the information and bring it with you when you come to our office.

If you are unable to complete or print the form, please arrive 15 minutes prior to your appointment time to complete the form.