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Contact Lens Order Form

Order Contact Lenses

Please complete this form and we will contact you within two business days to confirm your order. Fields with an * are mandatory.
  • We now have 2 locations to serve you better. Our main clinic is still located at 265B Concession Street. Our satellite clinic is located in the east end of Kingston at 677 Innovation Drive, Unit 5, just off Highway 15.
  • MM slash DD slash YYYY
    Some distributors offer shipping of contact lenses directly to patients - if you responded "Yes" above please leave your daytime address in the Comments section below (contact lenses have to be signed for when received by mail as they are medical devices).
  • Leave any extra details if necessary.

In February 2022, the Ministry of Health issued an extension of expired Health Cards until September 30th, 2022.  The date is nearing and we wish to remind you to check the expiry date of your health card prior to your appointment if it's after October 1st, 2022. ALL RED&WHITE health cards without expiry dates will no longer be valid after September 30th, 2022.

IF YOUR HEALTH CARD IS EXPIRED, YOU WILL NOT HAVE OHIP COVERAGE STARTING OCTOBER 1, 2022 AND YOU WILL BE REQUIRED TO PAY OUT OF POCKET FOR YOUR HEALTH SERVICES.