Book your appointment

^*Your firstname:

^*Your surname:

^*Your telephone number:^*

^*Email Address:^*

Your house number:

Your Postcode:

Have you been to Spectacular Opticians before?
please choose yes no

Are you Private or NHS?
please choose Private NHS

If NHS, what is your reason for exemption?
please choose under 16 under 19 but in full time education you possess an HC2/HC3 form over 60 working family tax credit job-seekers allowance income support pension credit registered blind or partially sighted complex prescription(over +/- 10 dioptres or an astigmatism of more than 6 dioptres) diabetic glaucoma sufferer over 40 with an IMMEDIATE blood relative who has glaucoma

At which practice would you like your appointment?
please choose Downham Market Ely March Newmarket Chatteris

Appointment type required (eg eye test):

Date for appointment:

Approximate time for appointment:

Any questions or comments:

^*what is 1 + 1? (please enter for security)