Request an Appointment

Whether you are looking for a new optometrist or are an existing customer, send us your request for an appointment date. Someone from our office will then be in touch with you shortly to confirm.

Contact Information
Name*
First Last
Phone*
Email*
Address
Address
Street Address City Province Postal Code
Appointment
New or existing client?:*
Preferred Appointment Date*
Preferred Appointment Time*
Message*
Consent*
By selecting the checkbox, you agree to our Privacy Policy and consent to the data you send being collected, stored, and being contacted by Parker Optometry.
Yes, I agree and consent.
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