CONTACT LENS ONLINE ORDER FORM
If you would like to place an order for contact lenses, please complete the following form. We will be happy to mail them to you or you can pick them up at our office. One of our staff will call you to confirm your order.
We accept orders from both clients and non-clients. If you are not currently a client at our office, we will need to get your prescription information from you or schedule an appointment to determine the correct lenses for your vision needs.
All fields marked with an asterisk (*) are required.
**Shipping costs: If you are purchasing a six-month (4 boxes) or more supply of contact lenses, there is no shipping charge. For orders less than 6 months/4 boxes, a $6.00 shipping charge will be added to the order.
Oasys bi-weekly lenses require an order for one year (24 pack or 8 boxes) for free shipping. Otherwise a $6.00 fee will apply.
CIBA lenses – free shipping applies to orders greater than one box. No P.O. boxes allowed (for these lenses).