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 9:15 am to 3:45 pm. Our hours of operation are listed on our location page.Patient Type* New patient Returning patient Provider* Optician/Glasses Dr. Tannis Shakya Dr. Peter McGuigan No Preference 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.CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.