151 Bloor St W Suite 480A Toronto, ON M5S 1M2 Phone:(416) 923-8439    Fax:(416) 923-7055   Request an Appointment Request an Appointment You can send us an appointment request by completing the following form. Please note that we cannot guarantee that your requested date and time will be available. One of our staff members will contact you and confirm the appointment. Hours of Operation Mon 8 AM -  6 PM Tue 8 AM -  6 PM Wed 8 AM -  6 PM Thu 8 AM -  6 PM Fri 8 AM -  4 PM Sat By Appt. *Indicates a required field I am a new patient Clinic* 151 Bloor St W Suite 480A Toronto, ON First Name* Last Name* Contact Number* Cell Phone* Email* First Preferable Date* Time of Day* MorningAfternoonEvening Second Preferable Date* Time of Day* MorningAfternoonEvening Doctor* No Preference/First AvailableDr. Michael RotholzDr. mike_associates Mike's Associates Reason for appointment* Routine Eye Exam Extra Comments (if any): Human test: Enter Code Here:
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