Please complete form below at least 48 hours prior to Eye Examination. 

If you are experiencing any Covid symptoms, please do not attend the practice.

Reason for visit?
Please tick the boxes below if you suffer from any of these symptoms, in the large box please supply details of how long you have had them, if they have worsened, how long the last and any triggers)
Do you wear contact lenses?

Opening hours:-

Monday 9.00 - 19.00

Tuesday - Friday 9.00 - 17.30

Saturday 9.00 - 13.00

AJ Webster Opticians

Les Pieux

Cobo Coast Road

Castel

Guernsey

GY5 7HB

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