Contact & Book a Visit

Book a home sight test or send us a general enquiry. We aim to respond within one working day and see all new patients within 7 days.

Direct Optometrist Line

0800 689 1914

Email Us

info@eyecareathome.org

Availability

Mon–Fri 9am–5pm, Sat 9am–1pm

Sight Test Booking Request

Complete the form below and we will contact you to confirm your appointment. Fields marked * are required.

Patient Details

Full Name *

Date of Birth *

NHS Number

Phone Number *

Email Address

Home Address

Address *

Postcode *

Referral Information

Referred By *

Referrer's Name

Referrer's Phone

Reason / Condition

Appointment Preferences

Preferred Days (select all that apply)

Preferred Time

Preferred Language

Additional Information

* I consent to Eyecare at Home storing and processing the information submitted in this form for the purpose of arranging an eye care appointment. Your data will be held securely and not shared with third parties without your consent, except where required for your clinical care. See our Privacy Policy.

Prefer to speak to us directly?

0800 689 1914

Direct line to your optometrist — Mon–Fri 9am–5pm, Sat 9am–1pm