Ophthalmic Consultants of Boston: Order Contacts

PATIENT SERVICES

Order Contacts

You can order your contact lens replacements through OCB Optical Online Express. Please fill out this form and press the Submit button below. Your contact lens order will be confirmed by email, then charged to your credit card and mailed to your address on file using your current prescription.

Remember, prescriptions over one year old are considered expired. If your prescription is older than one year, you should schedule an appointment for an annual exam.

Please fill in the form as completely as possible; an asterisk (*) indicates required information to properly handle your request.

Please note: the information sent through this form is not encrypted or sent through a secure server.

*	Name:
*	Date of birth (mm/dd/yy):
*	Email:
	Phone (daytime):

*	Contact Lens Description:
		Describe other type/brand:

*	Refill Quantity:

	Delivery options:	Pickup Standard Mail ($7) Overnight Mail ($25)

	Ship to:	type address here
	Comments: