Book your eye
test appointment today

• 1. Appointment Details

  • Select the preferred date(s) when you would like your eye test.
    Today's date: 29/07/2010

  • 1st date *: Anytime AM PM
  • 2nd date : Anytime AM PM
  • 3rd date : Anytime AM PM

  • We will contact you by telephone during working hours, Monday to Friday 9am-5pm (GMT) excluding Bank Holidays, to confirm your appointment.

  2. Your Contact Details

  • We only use your number to confirm your booking.
    If you do not have a voice telephone please enter 0000.

  • Title *: Select Mr Mrs Miss Ms Dr
  • Forename *:
  • Surname *:
  • Date of Birth *: Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month January February March April May June July August September October November December Year 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900
  • Email *:
  • Daytime Tel. *:
  • Alternate Tel. :
  • Town / Postal District *:

  3. Choose your store & appointment type

  • Please select your appointment type:
    Eye test Digital Retinal Photograph Contact lens assessment Contact lens aftercare
  • We're sorry but the store you have chosen does not offer a Digital Retinal Photograph with your Eye Test.
  • Choose your store:
    Select store for appointment Athlone Cork Cork (Douglas Court) Dublin - Blanchardstown Dublin - Henry Street Dublin - Liffey Valley Dublin - Tallaght Galway (New Store) *
  • When did you have your last eye test?: Please select a time 0-12 months 12-24 months 2-5 years More than 5 years
  • Where did you have your last eye test?: Please select an optician Vision Express Boots David Clulow Dolland and Aitchison Eye Clinic Optical Express Scrivens Specsavers Not Listed
  • Do you suffer from any of the following?:
    Diabetes Glaucoma

  4. Further details & submit

  • Where did you hear about Vision Express?: Please choose your answer Word of mouth recommendation Visited Vision Express before Search engine / directory TV Radio Posters Newspapers Items through the post Other

  • Vision Express respects your privacy and will not share your personal data with any third parties. Your details, including your name, address and e-mail address may be used by Vision Express to keep you informed about future products and services.

  • If you do not wish to receive such information please tick the box

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