This form must be filled out when insurance claims are submitted electronically by Dr. Archie Chung & Associates Optometrists at Woodbine Mall (Woodbine Mall, 500 Rexdale Blvd., Unit D014,Rexdale, ON M9W 6K5) on the patient’s behalf and retained for two years with patient file.
If you can not complete our insurance consent form because you're currently experiencing any technical difficulties, please do not worry! Please inform our clinic of any challenges. We can also assist you directly in clinic. We are always striving to improve. If you have any questions or concerns, please contact us. Thank you.
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