Consent Forms

For patients who need Tele-Optometry consultation based on our advice. Please sign this consent.

We strive our best to serve patients with convenience and efficiency. If you need our help to submit eClaims of your insurance plan on your behalf, please complete the Eclaim Authorization and Consent Form online and submit to us directly. *Please keep in mind, Canada Life, Manual life, and Sun Life are the only insurers that offer direct billing to us (the service provider). For other plans, patients will need to make full payment for services rendered and products you purchased at Markham Eye and Vision Care, and by submitting the claims, you will get reimbursement from the insurers later. Alternatively, you can complete a fillable PDF eClaims-Patient-Consent-Form, print it out and bring it with you when come for your appointment.