Order Contact Lenses

For patients with challenging contact lens needs, Dr. Bohnsack offers specialty contact lens fittings for irregular corneas, keratoconus, corneal scars or when cosmetic tints are needed.

Please use the form below to order more contact lenses. Your order will be received and processed by our staff, after which they will confirm your order within two (2) business days. Please be advised that it is our office policy that to order contact lenses, patients must have had a full eye examination including a contact lens assessment within the past two (2) years. If you are unsure of what information to provide on the form, or have any questions about the contact lens ordering process, please contact us.

Your Name (Required)

Your Email (Required)

Daytime Contact Number (Required)

Alternate Number

Preferred Contact Method (Required)

Lens Quantity (Required)

Note: If you are unsure of what to select, please choose "other."
We'll contact you to help you choose the right option.

Should the supply amount requested not be available in
your lens brand, our staff will contact you.

Any Additional Information