Online Forms

At Mike Cees Opticians, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.

  • You will need AdobeReader® to download and complete the forms.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Fax your printed and completed form(s) to our office or bring them with you to your appointment.

New Patient Health History Form – Required

Please complete this form as it lets us know the history and current state of your health. Let us know what questions, concerns, and goals you have regarding your eye health or vision on the form.

Download & Print Form


Download the Free AdobeReader®


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If you need professional eye care, get in touch with Mike Cees Opticians on 

0117 955 6253

Monday  

9:00 am - 5:30 pm

Tuesday  

9:00 am - 5:30 pm

Wednesday  

9:00 am - 5:30 pm

Thursday  

9:00 am - 5:30 pm

Friday  

9:00 am - 5:30 pm

Saturday  

Urgent - By Appointment Only

Sunday  

Closed

Address

122 Church Rd,
Redfield, Bristol BS5 9HH