Appointment Request Form Please fill in the form below to request an appointment. You will receive an e-mail from our office shortly with our first available appointment time. Reason for AppointmentPlease provide a reason for your appointment. Details are stored securely and not sent by email.Preferred Date & Times*Full exam appointment availability from 9 am to 3 pm. Please Note: As of January 2023, we are currently booking regular eye exams 4-6 weeks in advance! Our hours of operation are listed on our location page.Patient Type* New patient Returning patient Provider* Adjustments/Glasses Dr. Tannis Shakya Dr. Karlie Tweed Name* First Last Date of Birth* MM slash DD slash YYYY Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Phone*Email* CommentsPlease let us know if you have any further questions regarding your appointment.CAPTCHANameThis field is for validation purposes and should be left unchanged. Δ
