Order Contact Lenses

Are you concerned about putting contacts in your eyes?

If you haven’t worn contacts before, we ask that you schedule an appointment for a fitting. Our staff will show you how to put contacts in and how to remove them. People react differently to different lens materials and cleaning solutions, you’ll also be able to try the contacts out for a week to make sure they are comfortable.

If you have worn contacts before, you will need a prescription from a doctor to use this form.

So, please use the form below if you already have a prescription for contact lenses.

Contact Lens Request Form

  • Please complete the form below to order contact lenses. Don't forget to include accurate contact details so we can follow up with you to finalize your request. You may also call us directly at 860-632-UC4D (8243).
  • Date Format: MM slash DD slash YYYY
  • :

Thank You!