Book an Eye Test

For URGENT eye concerns, do not use this form. Please call us directly or contact your nearest emergency eye department.

To book an appointment at one of our practices, simply fill out the short form below and we will get in touch to confirm your booking.

Preferred Location(Required)

1st Choice Date(Required)

Practices Open from Mondays through Saturdays: Broadway, Chullora, Kareela, Roselands, and Hillsdale
Practice Open from Mondays through Sundays: Bankstown

1st Choice Time(Required)

2nd Choice date will be same as 1st Choice date?

Yes

2nd Choice Date

Practices Open from Mondays through Saturdays: Broadway, Chullora, Kareela, Roselands, and Hillsdale
Practice Open from Mondays through Sundays: Bankstown

2nd Choice Time

Appointment Type(Required)

Please specify reason for appointment(Required)

How long since your last eye test?(Required)

Full Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home/Mobile Number(Required)

Are you the patient?

Yes

Patient's Name

First Last

Date of Birth (Patient)

Have you (or any household member) experienced any COVID symptoms now or over the past 14 days?(Required)

Yes

Please specify which symptoms

Message to Practice

Preferred Contact Method

Practices Open from Mondays through Saturdays:

Broadway, Chullora, Kareela, Roselands, and Hillsdale

Practice Open from Mondays through Sundays:

Bankstown