Order Contacts

You can renew your contact lens supply online by filling in this form. You will receive a confirmation e-mail once your order has been received, and processed by our staff.

First name*
Last name*
Street Address
City
Postal Code
Email**
Phone*
Birth Date*
MM slash DD slash YYYY
Comments
Lens Quantity Required*
- 1 year
- 6 months
- 3 months
Free Shipping Options
- Direct to Home
- Pick up at Merivale Vision Care
If you are unsure of what information to provide on the form, or have any questions about the contact lens ordering process, please call us at (613) 226-8446!

** To order contact lenses, patients must have had a full eye examination including a contact lens fit or check up within the last 2 years at our clinic.

** For Direct to Home delivery, there must be someone available to accept and sign for the delivery.
- Send me a copy of this email