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REQUEST AN APPOINTMENT

Thank you for choosing Dumalo Optometry for your eye care needs! Please fill out the form below and a member of our team will contact you shortly!

If this is an ocular emergency please call our office at 604-987-6554 for immediate assistance.

 
Name *
Name
Date of Birth *
Date of Birth
Phone *
Phone
Are you an existing patient of our clinic? *
Preferred method of contact *
Do you wear contact lenses? *
Reason for appointment *
Which doctor would you like to be booked with? *
Preferred appointment day *
Preferred appointment time *

 

Our Office

156 15th Street East
North Vancouver, BC, V7L 4N9
Canada

PHONE

(604) 987-6554

FAX

(604) 398-2745

hours

M-F 8:30 – 5:15
Sa 9 – 4:30
Su CLOSED