ENQUIRY FORM

Should you have any queries or like to schedule an appointment for ICL/Presbyopia evaluation, please feel free to contact us at 6100 2211, or get in touch via our online Contact Us form. Our personable staff will gladly welcome any questions you might have.

We would also like to take this opportunity to express our appreciation of your time, and to thank you for allowing us the privilege of serving you.

Full Name (required)

Date of Birth (dd-mm-yy, e.g 01-Jan-2014)

Your Email (required)

Your Phone (required)

Preferred Date (required) (dd-mm-yy, e.g 01-Jan-2014)

Preferred Time (required)

Remarks

CONTACT INFORMATION

Eye Care Clinic

Mount Elizabeth Medical Centre
3 Mt. Elizabeth Suite
#03-08 Singapore 228510

Tel: (65) 6733 5188
Fax: (65) 6733 6266
Email: doctor@eyecare.com.sg