Wufoo
Order Contacts Sheridan Optometric Centre
Please complete to order your contact lenses online
Order confirmation email will be sent upon receiving an order.
Patients will be contacted again when the order arrives.
Contact Brand (*)
Right Eye (OD) Power, CYL, Axis, # of Boxes (*)
Left Eye (OS) Power, CYL, Axis, # of Boxes (*)
First Name (*)
Last Name (*)
Phone Number (*)
Email address (*)
Do Not Fill This Out