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Appointment Request Form

  • Please fill in the form below to setup an appointment.
  • Date Format: MM slash DD slash YYYY
  • Preferred Date & Times

    Please let us know when you would prefer to have your appointment. Our hours are listed on our location page.
  • This field is for validation purposes and should be left unchanged.

Thank you for your time. Dr. Rana Zargar is happy to be your Optometrist serving Richmond Hill, Markham, Vaughn and all of West Toronto.