Online Patient Contact Form

Please note that this messaging form is only for Prism patients. If you are a non Prism patient seeking care, please see your primary care provider (optometrist or family doctor).

PATIENT PRIVACY

Please note that you must have access to an email address in order to complete the online contact form. 

We take your safety and privacy very seriously. Before filling out the contact form, you are required to read and accept our Terms of Use and Privacy Policies.

Read the Terms of Use and Privacy Policies

 

By clicking CONTACT PRISM NOW, you acknowledge that you have read and accept our Terms of Use and Privacy Policies. Otherwise click CANCEL to go back.

CONTACT PRISM NOW - I accept the terms of use and privacy policies

 

CANCEL