Order Contact Lenses Online

Monday: Closed
Tuesday: Closed
Wednesday: Closed
Thursday: Closed
Friday: Closed
Saturday: Closed
Sunday: Closed

Name: Shelburne Primary EyeCare
Address: 207 First Ave E, Shelburne, ON, L9V 3J9, CA
Telephone: 519-925-3320
Price range: $000 - $300

Patient Name*
First Last
Patient's Birthdate*
Date Format: MM slash DD slash YYYY
Contact Name*
First Last
Contact's Relationship to Patient
Day Phone Number*
Evening Phone Number
Email
Has this patient visited our office before?*
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Please give as much detail as possible, noting date of last exam, brand, type, and quantity. Don't forget to include type of payment or insurance to be used.*

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