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Book an Appointment
BOOK AN APPOINTMENT
REQUEST AN EYE TEST
Call +44(0)20-7935-1341 or complete the form below to request your eye health check.
Type of appointment: (tick boxes below)
Eye Test
Contact Lens Check Up
Eye Test & Contact Lens Fit/Check
Preferred Appointment Date
Alternative Appointment Date
Preferred Appointment Time
Alternative Appointment Time
PERSONAL INFORMATION
Name
Surname
Contact Number(mobile preferred)
Email Address
House number and first line of your address
Postal Code
Date of Birth(DD/MM/YYYY)
Are you an existing Paris Miki patient?
Yes
No
Yes, I agree that my contact details will be stored on the Paris Miki system for processing the request only.
Your personal information provided to us will be used for purposes of booking your appointment. To find out more about our promise to protect your personal information.
Please see our
privacy policy
for more information about how we use your data.
SUBMIT