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Patient Registration Form

Name: Dr. Fallon Patel and Associates
Address: 900 Maple Ave. Ste B5A, Burlington, ON, L7S 2J8, CA
Telephone: 289-266-0284
Price range: $000 - $300

Are you a New Patient?

Download our Patient Form here!

Please fill it out and bring it with you for your visit.

Want to access our Patient Portal?

Enter our patient portal here

Patient Registration Form

Are you a New Patient?

Want to access our Patient Portal?

We have 3 Eye Care Practices in Ontario

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