OHIP covers the BASIC elements of an eye examination. Freelton Eye Care uses
advanced diagnostic testing NOT covered by OHIP to detect and manage eye disease
earlier and more precisely, resulting in better health outcomes. These diagnostic
services include Visual Field Screening & Analysis; Optical Coherance
Tomography (OCT-Disc and/or Macula) & Analysis; and Baseline Fundus
By signing this form, you consent to Freelton Eye Care’s collection of the information
above. We collect, use and share your personal information for the following purposes:
your ongoing eye care; to provide services to you; to understand your eligibility for
benefits and/or services; to arrange payment for services, and as required by law.
The collection of this information is authorized by the Health Insurance Act, Optometry
Act, Regulated Health Professions Act and Health Protection and Promotion Act.
We will take ALL possible steps to ensure that your personal information is treated
confidentially and to prevent unauthorized access, use or disclosure of your personal