Contact Lens Order Form

 

This service is only available to current contact lens patients.

For those who have not purchased contact lenses from our clinic, please contact our office at (905) 235-6200.

If you have purchased contact lenses from us before and would like to replenish your stock, please fill out the following form and we will contact you when the lenses arrive.

Name *
Name
Please let us know the supply needed. Ex. 1 month, 3 months, 6 months, 1 year, other.