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Edmonton Eye Doctor
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Find Us
Edmonton Eye Doctor
- FAQs with Dr Moe
- Our Story
Scleral Lenses
Myopia Management
Eye Care Services
- Eye Disease Management
Glasses & Contacts
Insurance

Home » Contact Us » Appointment Request Form

Appointment Request Form

Please fill in the form below to setup an appointment.
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Reason for Appointment
Please provide a reason for your appointment. Details are stored securely and not sent by email.
Patient Type*
- New patient
- Returning patient
Please let us know if you are a new or existing patient.
This exam is for:*
- A child
- An adult
Our practice specializes in Myopia Management for children. Nearsightedness / myopia is one of the leading causes of eye disease in adults, but myopia management can slow down myopic progression in your child and help prevent glaucoma, macular degeneration, etc. If you haven't heard about myopia management, please click here here to learn more about it. If it is relevant for your child, our eye doctor will introduce you to myopia management at the eye exam. Feel free to contact us at 587-603-5840 before your child's eye exam to learn more about this service or browse our website for further information.
Reason for Appointment*
- Child is getting more nearsighted each year. Learn More Here
- Myopia Management or Control
- Ortho-K or CRT or GVSS (Vision Correction)
- Regular Eye Exam
- Contact Lens Exam
- Other
Choose from any of the following options.
Reason for Appointment*
- High Astigmatism or High Prescription
- Keratoconus or Irregular Cornea
- Safe alternative to LASIK w/o surgery
- Ortho-K (Vision Correction)
- Eye Conditions and Diseases
- Regular Eye Exam
- Contact Lens Exam
- Other
Please Specify*
Please Specify*
During your exam, would you be interested in hearing about controlling nearsightedness progression?*
- Yes
- Not at this time
Preferred Date & Times*
Please let us know when you would prefer to have your appointment. Our hours are listed on our location page.
Name*
First Last
Phone*
Email*
How did you find us?*
Please Specify*
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Thompson Optics

11208 104 Ave NW
Edmonton, AB T5K 2X4

Phone: 780-425-5367
Email: info@thompsonoptics.com
(Do not send personal health information by email.)

Monday: 9:00 AM - 5:30 PM
Tuesday: 9:00 AM - 5:30 PM
Wednesday: 9:00 AM - 5:30 PM
Thursday: 9:00 AM - 6:30 PM
Friday: 9:00 AM - 5:30 PM
Saturday: 9:00 AM - 2:00 PM
Sunday: Closed

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Thompson Optics
11208 104 Ave NW
Edmonton, AB T5K 2X4
Phone: 780-425-5367
https://www.thompsonoptics.com

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