Contact Lens Reorder Form >


Order Contact Lenses
View Photo Galleries
 

Ordering your next supply of contact lenses is just a few clicks away. Please fill out the form below. Most contact lenses arrive within 1 to 2 business days, depending on stock availability.

Online ordering of contact lens supplies is provided as a service to our current patients only. Patients must have had a comprehensive eye examination and contact lens evaluation and/or fitting within the last 2 years.

Contact Lens Reorder Form
First Name*
Last Name*
Email*
Phone Number*
Alternate Phone Number: 
Contact Lenses*
 I need lenses for both my right and left eyes (as noted in my file)
 I need lenses for my right eye only (as noted in my file)
 I need lenses for my left eye only (as noted in my file)
Supply Amount*
 1 year supply (free shipping included)
 6 month supply (shipping fee of $10 within Metro Vancouver)
Options*
 Please call me when my order is ready. I will pick up and pay for them at the clinic.
 Please deliver my contact lenses to the following address, and I will phone the clinic to provide my credit card number.
 Home Address (as noted on my file)
 Other address (note this address in the box below for "Special Instructions")
Special Instructions**
**Please note: DO NOT send your credit card number through this internet form. This is not a secure page.** Orders for delivery will not be processed until full payment has been received.
* Indicates required field.

To check on the status of your order or if you have any concerns about your order, please contact us by email or at 604-681-8653.