Arrange an Appointment

at the Prospect Eye Clinic

Please use the information on the following page to make an appointment at any of Mr Moriarty's clinics. If you only wish to request further information, please use the enquiries page.

Appointments by phone or email

Please make appointments by phone or email via Deryn Fawcett. Contact Deryn in person during office hours, or leave a message with the 24 answering machine service.

0161 927 3177

deryn@brendanmoriarty.com

Request appointment online

About this appointment / enquiry

Eye condition or procedure

Macular degeneration or IOLVIP procedure

Cataracts or cataract surgery

Glaucoma or SLT laser treatment

Floaters or laser treatment for floaters

Other eye condition or procedure

Any other important or relevant information

Patient details

Please fill in information about the patient.

Name *

D.O.B *

Phone *

Mobile

Street *

Locality

Town *

County

Postcode

Country

Alternative contact details

Fill in this section if you wish to specify a person other than the patient to receive correspondance relating to this appointment.

Name

Phone

Street

Town

County

Postcode

Country

GP information

Please provide information about the patient's GP.

Name

Phone

Practice

Street

Locality

Town

County

Postcode

Country