Schedule an Appointment Location - Langley, BC Title MsMrsMrDr Your first name* Your last name* Day time phone* Your Email* Are you a contact lens wearer YesNo Date wanted (first choice)* Time wanted (first choice)* ---9:30 am10:00 am10:30 am11:00 am11:30 am12:00 am12:30 am1:00 pm1:30 pm2:00 pm2:30 pm3:00 pm3:30 pm4:00 pm4:30 pm Date wanted (second choice)* Time wanted (second choice)* ---9:30 am10:00 am10:30 am11:00 am11:30 am12:00 am12:30 am1:00 pm1:30 pm2:00 pm2:30 pm3:00 pm3:30 pm4:00 pm4:30 pm Comments Would you be interested in being kept informed of clinic promotions, offers or updates? YesNo
