Request to Order Contact Lenses

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You can now request to order contact lenses from us 24/7! We will confirm your prescription and send you a payment request within 1 business day. Once payment is received, your contact lenses will be ordered and shipped.

Please contact us by text/phone at (415) 664-2022 if you have any questions. Thank you!

Email *

Patient First Name *

Patient Last Name *

Quantity of Lenses Requested *

Do you want to use your vision insurance benefits for your contacts? (VSP or MES) *

Yes, use my benefits for this order

No, save my benefits for glasses

Not Sure, I would like to discuss my options with TEC staff

Shipping Address *

Phone Number *

Can we text you at your phone number? *

Yes

Additional Comments or Questions?

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