Please use the form below to order more contact lenses. Your order will be received and processed by our staff, after which they will confirm your order within two (2) business days. Please be advised that it is our office policy that to order contact lenses, patients must have had a full eye examination including a contact lens assessment within the past two (2) years. If you are unsure of what information to provide on the form, or have any questions about the contact lens ordering process, please contact us.

Name *
Date of Birth *
Date of Birth
Phone *
Preferred Contact *
How would you like to receive your order? *
Full Payment is required prior to shipping of Contact Lenses. Our Staff will contact you to complete your purchase.
Lens Quantity Required *
If you are unsure of what to select, please choose "other". Our staff will contact you to help you choose the right option. Should the supply amount requested not be available in your lens brand, our staff will contact you.