Appointment – Paris Miki London

REQUEST AN EYE TEST

Call or complete the form below to request your eye health check.

Type of appointment: (tick boxes below)

Eye TestContact Lens Check UpEye Test & Contact Lens Fit/Check

Preferred Appointment Date

Alternative Appointment Date

Preferred Appointment Time

Alternative Appointment Time

PERSONAL INFORMATION

First Name

Last Name

Email Address

Contact Number

Address

Postal Code

Date of Birth

Are you an existing Paris Miki patient?
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Are you an existing Paris Miki patient?

Your personal information provided to us will be used for the purpose of booking your appointment.
Please see our privacy policy for more information about how we use your data.

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