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Appointment Request Form

  • Please fill in the form below to setup an appointment.
  • Please provide a reason for your appointment. Details are stored securely and not sent by email.
  • Please let us know when you would prefer to have your appointment. Our hours are listed on our location page.
    Please let us know if you are a new or existing patient.
  • This field is for validation purposes and should be left unchanged.

Call Our Two Locations!

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Attention valued patient:

The COVID-19 situation continues to evolve hourly. We aim to respond appropriately.Effective March 18, 2020, we are closed. We will be available by phone (St. Anne’s: 204-255-3993, Pembina: 204-452-2101) between 8:00-10:00 am to address your requests and concerns.

For urgent matters outside of these hours, go to Misericordia.

For non-urgent requests regarding glasses, contact lenses or appointments, you can email us – St. Anne’s: famoptic@mymts.net, Pembina: familyop@mts.net

We ask for your patience and understanding as we navigate these uncertain circumstances.

Thank you, and we look forward to serving you.Staff & doctors of Family Optical