gerry-button2

Contact Gerry Optics for optical instruments and equipment.

http://www.goptics.co.za/

or call: +27 11 793 4667

Optometrist Application Form

Please complete the following form and Family Living will contact you shortly.

Required *

This field cannot be empty.

This is a required filed.

This field is required.

This field is required.

This field is required.

 Male   Female 

Please select your gender

This is a required field.

This is a required field.

This field is required.

This field is required.

This field is required.

This field is required.

This field is required.

This field is required.

Please select days of practise.

Please select standard daily office hours.

This field is required.

 Yes   No 

Please check appropriate box.

 Yes   No 

Please select an option.

 I Agree.   I Do not agree. 

Please select yes or no.

Terms & Conditions - Please read these conditions carefully.
• All Family Living Optometrist network members pay strictly cash only. Members can only claim consultation fees from medical aids directly (depending on medical aid terms and conditions).

• Upon consultation membership card or member statement and member identity document is required to receive Family Living Optometrist Network 10% consultation discount and 10% frame benefit.

• Appointment at Optometrist practise must be made by either a Family Living Optometrist Network call centre agent or by the Family Living Optometrist Network member.

• Family Living is granted the right to add branding / marketing material, within reasonable bounds, to the optometrist’s consultation rooms. Optometrists will be responsible for the implementation and maintenance of Family Living marketing material, in case of loss or damage, optometrists are requested to contact Family Living to replace such items.

• Optometrists agree to bill regular consultation fees minus the

10% consultation discount and 10% frame discount granted to Family Living Optometrist Network principal and dependant members.

  Refresh Captcha  
Please re-enter code.
 

Your are currently browsing this site with Internet Explorer 6 (IE6).

Your current web browser must be updated to version 7 of Internet Explorer (IE7) to take advantage of all of template's capabilities.

Why should I upgrade to Internet Explorer 7? Microsoft has redesigned Internet Explorer from the ground up, with better security, new capabilities, and a whole new interface. Many changes resulted from the feedback of millions of users who tested prerelease versions of the new browser. The most compelling reason to upgrade is the improved security. The Internet of today is not the Internet of five years ago. There are dangers that simply didn't exist back in 2001, when Internet Explorer 6 was released to the world. Internet Explorer 7 makes surfing the web fundamentally safer by offering greater protection against viruses, spyware, and other online risks.

Get free downloads for Internet Explorer 7, including recommended updates as they become available. To download Internet Explorer 7 in the language of your choice, please visit the Internet Explorer 7 worldwide page.