Skip to main content

Map

Our Location

5 Swan Lake Blvd, Unit 7
Markham, ON L6E 0K7

mother-baby-happy-bubbles-1280x480
Home » Consent Forms » Eclaim Consent Form

Eclaim Consent Form

 

Electronic transmission authorization and consent form

Provider: Dr. Yilei Wang, Optometrist, Markham Eye and Vision Care

Address: 5 Swan Lake Blvd., Unit 7 Markham ON L6E 0K7; Phone: 905-471-8118; Fax: 905-471-9119

Patient:

Patient Name(Required)
MM slash DD slash YYYY

Consent to collect and exchange personal information

MM slash DD slash YYYY

All information contained herein is protected by privacy laws including the Personal Information Protection and Electronic Documents Act (PIPEDA) and all the corresponding provincial legislation. All users agree to protect the personal health information contained herein from unauthorized use, disclosure, loss, theft, or compromise in accordance with the above noted laws and with at least the same care employed to protect their own confidential information. Any unauthorized access, disclosure or use of this information is illegal.
MM slash DD slash YYYY

 

 

x

September 1st, 2023 OHIP Updates Eye Examinations

 

Starting September 1, 2023, there are some changes to how OHIP covers eye exams in Ontario.

Please take your time to read here , which provides more detailed information about OHIP’s coverage for eye exams across different age groups.