Use this form to send us your confidential documents INSTEAD of faxing them to us.
Uploads will only be readable by Losh Optometry LLC staff.
Your information will be encrypted.
Scan & upload your confidential documents to us. Use this page INSTEAD of your fax machine.
Your browser does not support capabilities required for electronic signatures.
Click a signature you want to use:
Copyright © 1999-2023 Hush Communications Canada Inc.