Thank you for your interest in making an appointment with us. Please complete the below form and we will contact you within the next business day. Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Daytime Contact Phone Number *Are you an existing client of Charl Laäs Optometrists? *Please selectYesNoWhat is your preferred daytime slotPlease selectMorning (am)Afternoon (pm)Additional CommentsEmailSubmit