Killarney Optometric Centre
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Request Time for my Glasses
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Request Time for my Glasses
First Name
*
Last Name
*
Date of Birth
*
Daytime Phone Number
*
Cell Phone Number
Email Address
*
I would like to schedule time for:
*
Adjustment of glasses
Pick up new glasses
Remount (replacement of part/lenses)
Repair of glasses
If repair of glasses, what needs repaired
Preferred time of day:
*
Anytime
A.M.
P.M.
Preferred day of week:
*
Any
Monday
Tuesday
Wednesday
Thursday
Friday
Please indicate any specific questions or concerns briefly below:
SUBMIT
Services List
Eye Examinations
Frame Dispensing Lens Consultation
Contact Lens Fittings
O.C.T. Scans
Low Vision Aids
Visual Perceptual Therapy
Cataract Assessment
Glasses Repair
Glaucoma Assessment
Pachymetry
Refractive Surgery Consultation & Assessment
Retinal Photography
Tonometry
Vision Therapy
Visual Field Analysis
Get Your Eyes Checked
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