On-Line ordering is available for our existing patients. Please fill in the form below and we will contact you when your order is ready - we can make arrangements for patients through the telephone.
Name
Street Address
City
Prov.
Day Phone #
Postal Code
Please check the box below
Right Lens
Left Lens
Both Lenses
Gas Permeable
Other Please specify below
Lens Type/Brand/Colour
Additional Information we should know about or questions?
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