Appointment Request Form

Name: Valley Vision Optometry
Address: 4009 Redford St, Port Alberni, British Columbia, V9Y 3R9, Canada
Telephone: +1-250-724-0933
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.
Patient Type*
- New patient
- Returning patient
Please let us know if you are a new or existing patient.
Name*
First Last
Phone*
Email*
Comments
This field is for validation purposes and should be left unchanged.

We are open by appointment only. Our current hours are Monday to Friday, 8am – 4pm. Please call our office to schedule an appointment. Read about our safety protocols here.