Please complete this form prior to your first appointment at Custom Eyecare.
This form is for patients aged 15 years and under. For patients aged 16+ please complete our adult form.
From 9:00 to 10:15 on Thursday morning we are having our team meeting. Our door will be closed and we apologise for any inconvenience. Please leave us a message on 49270500 or shoot us an email on info@customeyecare.com.au and we will get back to you asap.