Get Contact Lens Order Form

Filling out the Contact Lens Order Form online is a straightforward process designed to streamline your lens ordering experience. This guide will provide you with clear, step-by-step instructions to ensure accurate completion of the form.

Follow the steps to complete your Contact Lens Order Form accurately.

1. Press the ‘Get Form’ button to access the Contact Lens Order Form. This will open the form in your document editing interface.
2. Begin by entering your account name and account number in the designated fields. Provide your phone number for any necessary follow-up communication.
3. Input the contact person's name and the order date to ensure the order is properly attributed.
4. Fill out the patient’s full name, including last and first name, to link the order to the correct individual.
5. Select where to ship the completed lens order by checking the appropriate box for either 'Office' or 'Patient.' Then fill in the patient’s street address, including any apartment or suite number.
6. Provide the city, state, and zip code for the shipping address. Also, enter the patient’s phone number.
7. Choose a shipping method by checking the option that fits your needs, such as '1st Class Mail' or 'Overnight.' Be sure to understand the delivery terms for each method.
8. Indicate the order type by selecting the appropriate box: 'New GP Lens' or 'New Soft Lens.' If applicable, fill in details for exchanges or replacements.
9. For GP lens orders, include material specifications, design, and any additional treatments like plasma treatment, if required. For soft lens orders, specify the type of material.
10. Input necessary keratometer readings and spectacle prescription details, including base curve and power for each eye (OD and OS).
11. If there are additional specifications for GP lenses or Intelliwave soft lenses, fill in details such as peripheral curves and any other noted requirements.
12. Use the notes section for any comments or instructions relevant to the order that might assist the processing team.
13. Lastly, enter a new invoice number if applicable before submitting your order.
14. After completing the form, save any changes made to it, and download, print, or share the completed form as needed.

Complete your Contact Lens Order Form online today to ensure a smooth ordering process.