MiSight Free Contact Lens Trial

 

Please fill out the following form to submit your trial request. It should take no longer than 5 minutes to complete. We will then contact you to discuss your requirements further and arrange a suitable appointment time.

 

Please be aware of our Terms and Conditions. The patient must have an up-to-date sight text prescription and must be deemed suitable for MiSight® lenses prior to the trial. May not be used in conjunction with another offer.

Have you ever trialled Contact Lenses before?*
No
Yes
Please provide details about the last time you trialled contact lenses
When was your last Sight Test?*
Which practice would you prefer to visit?*
Please select which days are suitable for you*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Please select which times are suitable for you*
09:00-11:00
11:00-13:00
13:00-15:00
15:00-17:00
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General Enquiries

info@haineandsmith.co.uk

01672 513686

Haine & Smith Enquiries
7-8 Salisbury Road Business Park
Salisbury Road
Pewsey
Wiltshire
SN9 5PZ

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