Appointment Request Form

Name: Lionsgate Optometry & Optical
Address: 162 13th St E, North Vancouver, BC, V7L 2L5, US
Telephone: 604-986-9566
Price range: $000 - $300

If this is an emergency, do not contact us via email, please use our emergency
contact information.

Complete the following form:

Please fill in the form below to setup an appointment.
Reason for Appointment
Please provide a reason for your appointment. Details are stored securely and not sent by email.
Preferred Date & Times*
Please let us know when you would prefer to have your appointment. Our hours are listed on our location page.
Patient Type*
- New patient
- Returning patient
Please let us know if you are a new or existing patient.
Name*
First Last
Phone*
Email*
Best Time to be Reached for Confirmation*

: HH

MM
Comments
Email
This field is for validation purposes and should be left unchanged.

We are back! We are now open to our normal business hours. Please request an appointment here or call 604-670-3329. Learn more about what to expect at your appointment or telehealth appointments. We are looking forward to seeing you again. Thank you, and stay safe.

Appointment Request Form

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Lionsgate Optometry & Optical