Book Eye Examination online
Advanced Eye Care
Tel: 01481 253755
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Please complete form below at least 48 hours prior to Eye Examination.
What's your full name and date of birth?
What’s your telephone number and email address?
Reason for visit (Please include any symptoms, when they started, how long they last, how severe they are and any triggers)
Do you suffer from flashes in your eyes, floaters or double vision? (Please supply details of how long you have had them, if they have worsened, how long they last and any triggers)
Do you suffer from headaches? (Please give details of type, when they started, what makes them worse, how long they last and position)
Do you already wear spectacles, if so for what reason? How can they be improved? Will you require help to choose a new frame?