We are open and seeing patients! For COVID-19 updates, click here!

CALL 206-634-3375 | TEXT 206-880-0456

HOME
ABOUT
PATIENT RESOURCES
Book Your Appointment
Order Contacts

ORDER CONTACTS

SCHEDULING
NEW PATIENTS
INSURANCE
TECHNOLOGY
ORDER CONTACTS
PAYMENTS
MOBILE PAYMENTS

Keep in mind you’re eligible for several rebates if you had your exam within three months from our office. Best of all we know your Rx if you’ve had your exam with us! Submit this brief form and we will get back to you with a quote within 1 business day.

Patient*
First Name Last Name
Patient Date of Birth (D.O.B.)*
Email Address*
Contact Lens Supply Time*
- 1 year
- 6 months
- 3 months
- 1 month
- Other
Choose the supply time for your contact lenses if you are a daily wearer. If you are not - choose the last option, "Other".
Shipping Options*
- Ground (3-5 Business Days)
- 2 Day Air (2 Business Days)
- Overnight (1 Business Day)
- Saturday Overnight (if ordering Overnight on Saturday)
Ship to...*
- Your Office
- My Home Address
- Other Address
Confirm Your Shipping Address*
If shipping to store write "EOF"
Other Details

FACEBOOK
INSTAGRAM
MAIL