Appointment Request Form

Name: Dr. Patricia S. Fink
Address: 2080 Appleby Line, Burlington, ON, L7L 6M6, CA
Telephone: 905-319-1066
Price range: $000 - $300

Please fill in the form below to setup an appointment.
Reason for Appointment
Please provide a reason for your appointment. Details are stored securely and not sent by email.
Preferred Date & Times*
Please let us know when you would prefer to have your appointment. Our hours are listed on our location page.
Patient Type*
- New patient
- Returning patient
Please let us know if you are a new or existing patient.
Name*
First Last
Phone*
Email*
Best Time to be Reached for Confirmation*

: HH

MM
Comments
Email
This field is for validation purposes and should be left unchanged.

Protecting our Patients from Coronavirus

Dear Valued Patient,

As directed by the College of Optometry, our office will be closing as of today.

Our tentative re-opening date is 4/14 – to be confirmed.

We are available to see emergency patients, and our office will be answering calls M-F between 9:00am to 12:00pm.

Outside of those hours, please email us at info@drfink.ca

Thank you for your understanding in this uncertain time.

Sincerely, Dr Fink & Our Team.

Dr. Patricia Fink Optometry