Request a home visit
We offer both eye and hearing tests - you will be invited to book both tests using this form.
Please note, all patients must be aged 18 or over
Home eye test
If you are booking on behalf of somebody else, please complete from their perspective.
Would you like to book an eye test?
Do you find it difficult to visit your high street optician due to health or mobility issues?
What's your age?
Tick any of the following statements that apply to you
Tick any of the following that you or your partner receive
Was your previous test more than 24 months ago?
Was your previous test more than 12 months ago?
Has your vision deteriorated since your last eye test?
Great news! We think you're entitled to an NHS funded eye test in your own home.
While you aren't entitled to NHS funding, you can still benefit from our home eye test for the standard fee of £60. By clicking next and submitting a booking request you acknowledge that you understand a fee for a private test applies.
Home hearing test
If you are booking on behalf of somebody else, please complete from their perspective.
Would you like to book a hearing test?
What type of hearing aids do you currently wear?
Do you find your hearing is limited in any of the following settings?
Which of our hearing services are you interested in?
Searching…
Your selection:
Our NHS services aren't available here yet. Please select Private and try again
Patient details
Please complete the following details for the patient.
Are the following patient details for yourself?
Add another patient?
Would you like to book an additional test for another person at the same address?
Contact details
Please provide information for the best person to contact with appointment details.
Is this address the best to send any letters to?
Check appointment details and click the Complete Booking button
We appreciate the trust you place in us when sharing your personal data, the security of your data is very important to us. All data is processed in accordance with the Data Protection Act 2018. We want to keep you informed about services and products, so we’ll contact you via the details provided. You can opt out of marketing updates or manage your consent preferences at any time by visiting our Privacy Policy You can also find further information here about how your information is processed.
