Skip to main content

Covid-19 Update

Located at 470 Chrysler Dr., Unit 3

Request An Appointment

Hours & Location
Our Eye Doctors
- The Staff
Advanced Services
Eye Care Services
Eyeglasses Boutique
Contact Lenses
Insurance Information

Hours & Location
Our Eye Doctors
- The Staff
Advanced Services
Eye Care Services
Eyeglasses Boutique
Contact Lenses
Insurance Information

Home » Contact Us » Referral Request

Referral Request

Date

MM slash DD slash YYYY

Patient Name

First Last

Address

Street Address City State ZIP Code

Telephone

I am referring for the following reason(s):

Double Vision

Learning Related Visual Problems

Eye Strain

Post trauma/Stroke Evaluation

Dizziness and Balance Issues

Accommodative Dysfunction

Reading Problems

Developmental Delays

Driving

Exophoria/Esophoria/Hyperphoria

Fluctuating Acuity

Convergence Insufficiency

Strabismus/Amblyopia

Other

Other

Additional Information:

Search:

Request An Appointment

Dry Eye Products

Thompson Optometry

Unit 3, 470 Chrysler Dr
Brampton, ON L6S 0C1

Phone: 905-793-2020
Email: office@drrickthompson.ca
(Do not send personal health information by email.)

Monday: 8:30 AM - 5:30 PM
Tuesday: 8:30 AM - 5:30 PM
Wednesday: 8:30 AM - 5:30 PM
Thursday: 8:30 AM - 5:30 PM
Friday: 8:30 AM - 5:30 PM
Saturday: 8:30 AM - 3:00 PM
Sunday: Closed

Home
Contact Us
What’s New
Disclaimer
Privacy Policy

Home
Contact Us
What’s New
Disclaimer
Privacy Policy

Request An Appointment

Speak Field

Thompson Optometry
Unit 3, 470 Chrysler Dr
Brampton, ON L6S 0C1
Phone: 905-793-2020
https://www.drrickthompson.ca

Powered by EyeCarePro.com
The materials and articles contained on this website are copyrighted and protected under Title 17 of the United States Code
Sitemap | Email Accessibility | Website Accessibility Policy | Login