Eye Exam

Make an appointment online with one of our partner optometrists at the New Look store nearest you!

Eye Exam Appointment

All fields marked with an asterisk (*) are required.

Title *

Gender MaleFemale *

First Name * Last Name * Telephone (work) * Telephone (home) * Availability
(ie:day, evening...) * Email *

For which New Look store would you like an appointment?

Area *

Store *

Desired Optometrist

Other Information - The following information is not mandatory. However, it will be required to open your patient file at the store.

Birth Date dd/mm/yyyy *

Address City Province

Postal Code ex. : A1A 1A1 Contact Lens Wearer

Notes

Security Code *