Schedule an Appointment Location - Langley, BC Title MsMrsMrDrYour first name*Your last name*Day time phone*Your Email*Are you a contact lens wearer YesNoDate wanted (first choice)*Time wanted (first choice)*—Please choose an option—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 pmDate wanted (second choice)*Time wanted (second choice)*—Please choose an option—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 pmCommentsWould you be interested in being kept informed of clinic promotions, offers or updates?YesNo