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Home » Contact Lens Order Form

Contact Lens Order Form

  • To order contact lenses, please complete the form below. Don't forget to include accurate contact details so we can follow up with you to finalize your request. We will verify that you are an established patient with a valid contact lens prescription.
  • Thank you! We will call you to confirm your order and collect payment. Please allow 2 business days for a response.

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  • This field is for validation purposes and should be left unchanged.