905-845-4446

Place Your Online Order

On-Line ordering of contact lenses is currently available only for our existing patients.

Please fill in the form below and we will contact you – we can make arrangements for payment over the telephone.

Your Name (required)

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Subject

Phone

Address

Phone

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Lens Information:

Left EyeRight Eye

Number of Disposable Lens Boxes Right Eye

Number of Disposable Lens Boxes Left Eye

Number of Conventional lenses/Lenses/Hard/Gas Permeable Lenses Right Eye

Number of Conventional lenses/Lenses/Hard/Gas Permeable Lenses Left Eye

Additional Information