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Please fill out the following form to re-order contact lenses. All required fields are marked with an asterisk (*).

In order for us to process your request, we must have a valid prescription for you on file. If we do not have one, please either fax a prescription to us at (360) 449-3094 or make an appointment with our office for an eye exam.

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The information you enter is submitted to a secure site and will be kept completely confidential.

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