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Appointment Request Form

  • Please fill in the form below to setup an appointment.
  • Please provide a reason for your appointment. Details are stored securely and not sent by email.
  • Please let us know when you would prefer to have your appointment. Our hours are listed on our location page.
    Please let us know if you are a new or existing patient.
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  • This field is for validation purposes and should be left unchanged.
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Thank you for visiting the website for Millwoods Eye Clinic, offices of Dr. Jomha and associates.

There has been a major water break at the office and the space is currently under maintenance.

However, for your convenience, we are still seeing patients across the street at Lifetime EyeCare.

Please call 587-412-1643, or use our online booking portal and we will be happy to accommodate you.

If this is an emergency, please contact the Royal Alex hospital.

Thank you