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Membership Application Form for Optometrist with Less Than 7 Years of Experience

Intrigued by the possibilities of membership? Please review Eye Recommend Membership Eligibility Requirements before completing the application form below. You will receive an email confirmation of your submission, and we will contact you once your application has been processed. 

Please note: this membership application form is specific to optometrists with less than seven years of working experience looking to open a cold start or buy into an ownership stake at an existing Eye Recommend practice. If you have optometry working experience of seven years or more, please complete the Membership Application Form.

Personal Information

Practice Information

Practice Address

Existing Location with Other Group Application

Second Location Information

Practice Address
Relationship to Business Partner
Relationship to Business Partner
Relationship to Business Partner
Relationship to Business Partner
Relationship to Business Partner
Relationship to Business Partner
Relationship to Business Partner

Third Location Information

Practice Address
Relationship to Business Partner
Relationship to Business Partner
Relationship to Business Partner
Relationship to Business Partner
Relationship to Business Partner
Relationship to Business Partner
Relationship to Business Partner
Relationship to Business Partner

Cold Start Application

Change of Ownership Application

Optometry Working History

Please enter your latest record of employment followed by your preceding working history. 

Second Location History

Associate to Member Application

Existing Location Application

Eye Recommend Culture

Application Agreement

By clicking here, I agree to the terms and conditions outlined in the Membership Confidentiality Agreement below.

Eye Recommend (Doctors Eye Care Co-Op Ltd.) Is a cooperative association of members, and an innovative leader in the optometry industry. As such, Eye Recommend must take every measure possible to keep its confidential information protected. Any unauthorized disclosure or use of confidential information will undermine Eye Recommend’s competitive advantages within the industry, and have a negative impact on Eye Recommend’s long term health, profitability and ability to provide benefits for its members. For this reason, Eye Recommend must have complete trust and confidence in all of its members, and this agreement outlines the fundamental obligations of all members to Eye Recommend with respect to confidential information.

Acceptance of the terms of this agreement is required as a condition of receipt by each member of any and all membership benefits and pricing, discount, supplier and other purchasing information (the “purchasing information”) gathered, arranged or offered by eye recommend for all of its members. please read it carefully. Should you have any questions or concerns, or if you wish clarification, please contact admin@eyerecommend.ca.

Detail

As a Member of Eye Recommend, and in consideration of receiving membership benefits, including but not limited to voting privileges, discounts, rebates, patronage returns, the Purchasing Information and other financial benefits afforded to all Members of Eye Recommend, I agree that:

  1. During the course of my membership in Eye Recommend I may have access to the information of, and may acquire knowledge about, Eye Recommend and its business, which information is of a private or confidential nature, including without limitation:
    • the Purchasing Information;
    • methods of operation, trade secrets and know-how, including information about existing, new or envisioned Eye Recommend products, services, processes and procedures, and their development and performance;
    • proprietary computer programs and codes, and scientific, engineering and technical information;
    • business and technical plans and proposals;
    • historical, current and planned marketing and sales programs, and market data;
    • client lists, and client information;
    • historical and current financial information and financial projections;
    • business information including, but not limited to, manufacturing, purchasing, inventory, data processing, personnel, sales, pricing, costs, profits, margins and revenues; technical information such as formulae, processes, machines, inventions, and research; information pertaining to trade marks, copyright, inventions, patent applications and other intellectual property;
    • all other concepts, ideas, materials and information prepared or performed for or by Eye Recommend, and
    • all information related to the business, products, purchases or sales of Eye Recommend or any of its suppliers or customers, other than information that is publicly available, all of which are hereinafter referred to as “Confidential Information”. I understand that this list of Confidential Information is not meant to be exhaustive, and there may be other similar documents or information which I may obtain or have access to or knowledge of in the course of my membership with Eye Recommend which may also be regarded as Confidential Information, and I will treat these in a manner consistent with the fundamental obligations outlined in this Agreement.
       
  2. I acknowledge that the Confidential Information is the exclusive property of Eye Recommend, and I agree to receive and hold all such Confidential Information in confidence and not make use of it myself, or disclose it to anyone, including any other member of Eye Recommend who has not signed a Members Confidentiality Agreement, either while I am a Member of Eye Recommend or thereafter, except as authorized to do by Eye Recommend (in its sole discretion), and in accordance with the policies, procedures and instructions of Eye Recommend (Doctors Eye Care Co- op Ltd.).
     
  3.  I agree that I will execute, upon request, specific non-disclosure and confidentiality agreements without additional consideration or compensation of any kind.
     
  4. From time to time during my membership, I may be given access to information that has been given to Eye Recommend by third parties and for which Eye Recommend has undertaken an obligation to hold such information in confidence. I agree to hold such information in confidence in the same manner as if it were Confidential Information of Eye Recommend, whether I have been informed of the confidential nature of such information or have reason to believe such information is confidential based upon markings or legends on documents or otherwise, including any and all financial, health or other personal data of such third parties.
     
  5. All documents and written information obtained or created by me pertaining to any phase or aspect of the business of Eye Recommend are and shall remain Eye Recommend’s property, including any notebook, diary or other documents kept by me in which I record matters pertaining to the business of Eye Recommend. I shall either on demand at any time during my membership in Eye Recommend, or in any case upon the termination of my membership, however occasioned, surrender all such documents and written information to Eye Recommend.
     
  6. I agree that I will execute, upon request, any documents reasonably required to vest in Eye Recommend complete title and ownership of Confidential Information or any party thereof, and to denounce any right, title and interest therein, without additional consideration or compensation of any kind.
     
  7. I agree that I will, at all times, maintain appropriate security measures in order to avoid the disclosure or misappropriation of the Confidential Information. I will promptly notify Eye Recommend of any unauthorized disclosure or misappropriation of the Confidential Information, and will promptly take such action as Eye Recommend may reasonably request to prevent any further unauthorized disclosure or misappropriation of the Confidential Information.
     
  8. I will not disclose the Confidential Information to my employees, contractors or agents, except with the prior written consent of Eye Recommend, which consent may be withheld. If Eye Recommend so requests, I will ensure that those employees receiving Confidential Information shall sign agreements similar to this Agreement. In any event, I will be responsible for any breach of this Agreement by any of my employees, contractors or agents.
     
  9. Upon termination of my membership with Eye Recommend, whether voluntary or involuntary, I shall immediately return all tangible forms of Confidential Information in my possession and control to Eye Recommend, and I agree thereafter not to use, or disclose to any third party, any of the Confidential Information of Eye Recommend for any purpose, including for the purpose of competing or aiding others to compete with Eye Recommend in the production, sale or service of any product or service with which Eye Recommend is involved.
     
  10. In the event of a breach of any of my obligations set out in this Agreement, I acknowledge that Eye Recommend has the right to impose appropriate discipline, up to and including termination of my membership in Eye Recommend and/or a legal action for monetary damages depending on the seriousness of the breach in all circumstances. In addition, I recognize that a breach of any one or more of my obligations in this Agreement would cause a loss to Eye Recommend which could not be adequately compensated for by damages alone, and accordingly, Eye Recommend will be entitled to injunctive relief against me for any such breach.
     
  11. I acknowledge and agree that all of my obligations set out in this Agreement shall continue throughout the duration of my membership with Eye Recommend, and continue beyond the termination of my membership with Eye Recommend.

  12. Should any provision of this Agreement be found to be in violation of law or public policy, or to be otherwise unenforceable, that finding will not invalidate any other provisions contained in this Agreement.

  13. Where the undersigned Member of Eye Recommend is a corporation, partnership, association, joint venture or other legal entity, the natural persons who are the owners of the legal entity shall, and hereby do, agree to be personally bound by the terms of this Agreement, and affix their hands and seals below that of the undersigned Member of Eye Recommend.

By clicking here, I agree to terms and conditions outlined in the Member Agreement Form Below

Member Agreement    
                            
The strength of Eye Recommend (Doctors Eye Care Co-op Ltd.) is dependent on the strength of its members and their common vision for full-scope, independent optometry. The following list confirms that prospective new members share the common values of current Eye Recommend doctors and are committed to growth in a unified direction. Having reviewed the Membership Criteria, you agree to the following:

  • Eye Recommend is committed to full scope independent optometry and I plan to practice this way.
  • Eye Recommend is committed to doctor participation in General Meetings and CEO meetings and doctor/staff participation in training seminars.
  • Eye Recommend is committed to practice income and expense benchmarking to provide confidential comparisons between offices and provide accurate figures to the Eye Recommend Board.
  • Eye Recommend is committed to progressive optometry and encourages new technology and patient education as to the latest products.
  • Eye Recommend is committed to a partnership with industry suppliers and plan to practice buying patterns that reflect the level of support of Eye Recommend suppliers.
  • Eye Recommend is committed to the highest standards of professional ethics and patient welfare and will keep these as a top priority.
  • I use high-speed Internet in my office and have a practice website.    
  • I am a member of my Provincial Optometric Association & encourage my associates to do the same.
  • I confirm that I am not part of the panel for any Managed Care groups that have exam and product discounts as part of their agreement.  
  • I agree to identify my practice as an Eye Recommend practice with the use of the branding materials available. I further agree to use any Eye Recommend trademarks, logos or other materials only as outlined and permitted by Eye Recommend in their sole discretion. 
  • I agree to let Eye Recommend share my participation in events with other members only.    
  • I agree to pay for all supplier purchases as reported on the monthly Eye Recommend billing statement by the published due dates. I further agree that non-payment may result in interest being applied and/or my supplier accounts being placed on hold.
  • I commit to directing all of my product purchases involving Eye Recommend approved suppliers through the Eye Recommend accounting office.
  • I commit to providing written notice of my intent to resign or retire my Eye Recommend membership 30 days prior to the effective date.
  • I commit to providing timely notice of any key information changes (ownership, address, key contacts)

I, acknowledge the principles and values of Eye Recommend and agree to practice in a way that encompasses all the above.  I understand that membership is a privilege with responsibilities and that my membership is dependent upon my ability to perform these responsibilities.

Please select the date you would like to disclose your Eye Recommend member application to the industry. We will keep your application private until the date selected, however, the Eye Recommend Board vote may be cast prior to this date. 
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