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Our Wednesday hours are: 8:30am - 4:00pm

DVM Referral Form

Animal Eye Clinic of Waterloo Region image

Please submit this form when you are referring your patient for a specialist ophthalmology exam.

The more information you can provide us, the better we can understand your client's pet's eye health problems.

Please click here to open or download the form.

If you need Adobe Acrobat Reader, it can be downloaded from here.