Order Contact Lenses Online

Monday: 9:00 AM - 5:00 PM
Tuesday: 9:00 AM - 5:00 PM
Wednesday: 9:00 AM - 7:00 PM
Thursday: 9:00 AM - 5:00 PM
Friday: 9:00 AM - 5:00 PM
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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