Virtual Consult Consent Form

ONLINE CONSULTATION WITH 360 EYECARE OPTOMETRISTS

360 Eyecare is now offering live online consultation services (also known as telemedicine, telehealth or tele-eyecare). This service is to be used for urgent eye care matters. You may access this service if you are experiencing any of the following symptoms:

• Sudden ocular pain
• Sudden loss of vision
• Sudden onset of light flashes, floaters, or visual disturbances resembling shadows
• Sudden change of vision
• Red or painful eye due to injury
• Red or painful eye with a history of recent eye surgery
• Pain, redness and/or discharge in the eyes or surrounding areas (eyelids, brow areas)

The FEE to access this service is $75 per consultation. There is currently no OHIP coverage for telemedical optometry services. At the end of the consultation the system will prompt you to make an online payment with a valid credit card.

Your online consultation protects your privacy using encryption technology for any personal information or images that may be shared between you and the doctor on the platform. Your online consultation may involve video chat, direct messaging, or photo uploads. You will be asked questions about the nature of your symptoms as well as your health history if relevant, including any medications you are taking.

While useful in particular clinical situations, tele-eyecare does NOT replace a traditional in-person comprehensive eye examination where direct patient examination, personal interaction and counselling is the generally accepted standard of care.

Not all urgent eye care matters can be managed via telemedicine, and following your consultation you may be asked to book an in-person appointment to be evaluated more thoroughly.