Referral Forms

Physicians that would like to refer a patient to Dr. Feisal Adatia for an eye exam or upcoming ophthalmic procedure can download a referral form. Simply click on the link below and a PDF Patient Referral Form will be downloaded for free in a separate tab.

Alternatively, if you would like to book an appointment directly, you may visit the Mitchell Eye Centre online booking form. By clicking on the below link you will be redirected to the Mitchell Eye Centre website in a separate tab.


Address:    100, 5340 1st St. SW

                       Calgary, Alberta
                       T2H 0C8
                       Southern Alberta Eye Center

Phone:        403-258-1773

Mitchell Eye Centre, Calgary



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