Contact Lens Reorder Form

Name: White Rock Optometry
Address: 102-1656 Martin Dr, White Rock, BC, V4A 6E7, CA
Telephone: (604) 536-4999
Price range: $000 - $300

Please reorder your contact lenses through our website.

Your Name*
First Last
Phone Number*
Email
Your Optometrist
Reorder Quantity
- 6 month supply of contact lenses
- 12 month supply of contact lenses
Additional Comment or Special Requests
Name
This field is for validation purposes and should be left unchanged.

COVID-19 UPDATE: AS OF MAY 19, 2020, WE ARE ABLE TO SEE PATIENTS IN OUR OFFICE ON A CASE BY CASE BASIS. CLICK HERE FOR MORE DETAILS.

CLICK HERE FOR OUR UPDATED HOURS

Contact Lens Reorder Form

White Rock Optometry