Purchase Contact Lenses

Would you like to reorder the same lenses, or see our Doctor for a better fit?*
- Please reorder the same brand that I purchased the last time
- See the Doctor for a better fit
What supply would you like to order?*
- 6 months
- 12 months
- A different supply (please specify in the comments section below)
Name*
First Last
Email*
Phone*
Pick up/Delivery Options*
- I will come to the office to pick up my lenses
- Please ship to the address specified below. (A shipping fee of $8.00 will be applied for a 6 month supply. Free shipping for a 12 month supply )
Shipping Address
Street Address Address Line 2 City Province Postal Code
Additional Comments/Special Requests