Appointment Request Form

To request your next appointment, please complete the form below and let us know the most convenient time and date for you. Please don't forget to include accurate contact details so we can follow up with you to finalize your request.

If this is an emergency, do not contact us via email.

Please fill in the form below to setup an appointment.
Reason for Appointment*
Please provide a reason for your appointment. Please do not use this form to request urgent/emergent appointments. For urgent/emergent appointments, please contact one of our offices directly by phone.
Preferred Date & Times*
Please let us know when you would prefer to have your appointment. Our hours are listed on our location page.
Location*
- Owen Sound
- Thornbury
Which one of our doctors would you like to see?*
- Dr. Joe Traynor
- Dr. Robert Dors
- Dr. Andrea Traynor
- Dr. Nikki Huggins
- No preference
Patient Type*
- New patient
- Returning patient
Name*
First Last
Phone*
Email*
Best Time to be Reached for Confirmation*

: Hours

Minutes

AM/PM
Comments
Name
This field is for validation purposes and should be left unchanged.

Appointment Request Form

SoundView Centre (Owen Sound)

Mountain View Eye Care (Thornbury)