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Patient Services

Contact Lens Order Request

Fill out the form below and we'll prepare your order and send you the details for review. Most orders are processed within 1–2 business days.

[email protected](817) 612-9780Mon–Fri 8:30AM–5PM (Wed closed)

Patient Information

Contact Lens Details

Additional Notes

Please note: A valid contact lens prescription is required to process your order. Prescriptions expire annually. If your prescription has expired, please schedule an appointment for an updated contact lens exam. We will contact you to confirm your order and provide pricing before processing.

This will open your email client with the form pre-filled.

Prefer to call or text?

(817) 612-9780

Mon, Tue, Thu, Fri · 8:30AM–5PM