Tab #1 Tab #2 Tab #3 Tab #4 Tab #5 BOOK AN EYE EXAM Are you a new or existing patient of optique opticians? Select OneNew PatientExisting Patient Select an option to continue Next Appointment Type Please select your appointment type Select your appointment typeEye Examination (Private)Eye Examination (PPS)Eye Examination (Medical Card)Under 16 Eye ExaminationHSE Over 8’s SchemeContact Lenses First AppointmentContact Lenses Yearly ExaminationPrescription Safety Glasses Eye Exam Select an option to continue Next Back Next Back Medical Card Eye Examination Do you have your HSE optical benefit form approved ? Yes No NextNext Back Prescription Safety Glasses Eye Exam Do you require an aye exam or do you have a prescription from another opticians ? Eye Exam Own Perscription NextNext Back Personal Details Name EIRCODE Date Of Birth Mobile Number Email PPS Number Select Day Select DayMondayTuesdayWednesdayThursdayFridaySaturdaySunday Select Time Select Time09:3012:3016:0016:30 Please call 091 386669 to request an application form