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Contact Lens Order Form

Unable to find your contact lens brand in our online shop? 

Please use the form below to place an order request.  We will contact you for payment and shipping/pick-up details prior to processing your order.

For patients with contact lens prescriptions from another provider, please email us your prescription (a photo or PDF copy) to

*Please Note: Only valid contact lens prescriptions will be accepted.  If your contact lens prescription is expired or you do not have a contact lens prescription, please book an eye exam.

Supply Amount

Thank you for your order. Our clinic will contact you shortly.

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