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Find us inside Northgate Mall - first floor across the hall from Walmart

Call 825-250-3535

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Our Eye Doctors
Dry Eye Testimonials
Causes of Dry Eyes
Dry Eye Treatments
Eye Care Services
Eyeglasses
Contact Lenses
About Us
- Hours & Location
- Insurance

Home » Contact Us » Appointment Request Form

Appointment Request Form

Basic form for clients to request an appointment with the practice.

Please fill in the form below to setup an appointment.
Patient Type*
- New patient
- Returning patient
Please let us know if you are a new or existing patient.
This exam is for:
- A Child
- An Adult
Reason for Appointment*
- Regular Eye Exam
- Contact Lens Exam
- Other
Choose from any of the following options.
Reason for Appointment*
- Tearing or watery eyes
- Sensitive or rubbing eyes
- Eye Conditions and Diseases
- Regular Eye Exam
- Contact Lens Exam
- Other
Please Specify*
Preferred Date & Times*
Please let us know when you would prefer to have your appointment. Our hours are listed on our location page.
Name*
First Last
Phone*
Email*
How did you find us?*
Please Specify*
Comments
Name
This field is for validation purposes and should be left unchanged.

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Request An Appointment

Total Focus Northgate and Dry Eye Clinic

9499 137 Ave NW # 1100
Edmonton, AB T5E 5R8

Phone: 780-472-7740
Email: info@totalfocusnorthgate.com
(Do not send personal health information by email.)

Monday: 10:00 AM - 6:00 PM
Tuesday: 10:00 AM - 6:00 PM
Wednesday: 10:00 AM - 6:00 PM
Thursday: 10:00 AM - 9:00 PM
Friday: 10:00 AM - 6:00 PM
Saturday: 10:00 AM - 6:00 PM
Sunday: 12:00 PM - 4:00 PM

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Home
Contact Us
What’s New
Disclaimer
Privacy Policy

Schedule Appointment

Speak Field

Total Focus Northgate and Dry Eye Clinic
9499 137 Ave NW # 1100
Edmonton, AB T5E 5R8
Phone: 780-472-7740
https://www.totalfocusnorthgate.com

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See What's New at Total Focus Northgate and Dry Eye Clinic!

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Do you experience dry eyes?
Speak to us about our successful IPL treatment!

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We now supply PRP eye drops to treat dry eyes

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