Order Contact Lenses

Contact Lens Order Form

Patient Name*
First Last
Email*
Phone*
Pick Up or Delivery*
- Pick Up
- Delivery
There will be an $8 shipping charge for Delivery orders.
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Do We Have Your Prescription On File?*
- Yes
- No
Upload Your Prescription*
Accepted file types: pdf, jpg, png, gif, doc, docx.
RIGHT EYE: How many boxes/lenses would you like?*
Please enter a number from 0 to 30.
*ability to order lenses/boxes will be subject to prescription expiration”
LEFT EYE: How many boxes/lenses would you like?*
Please enter a number from 0 to 30.
*ability to order lenses/boxes will be subject to prescription expiration”
Email
This field is for validation purposes and should be left unchanged.

Dear valued patients:

We love our patients and the work we do so very much. While we are sad to think we will have to miss seeing your beautiful smiles for the next few weeks, protecting the health and safety of our patients, staff and the members of our community is of the utmost importance.

In response to recent recommendations from the California Optometric Association and the local government for limiting the spread of COVID-19, our office will be closed for three weeks, effective today – Monday, March 16 – at 4pm. All regularly scheduled routine eye appointments will be cancelled. Our team will reach out to those impacted to reschedule.

If you need assistance with ordering or picking up CLs/glasses, please email us at info@universityoptometry.com or text us at 650-766-6655. We will be checking both emails and texts throughout the day, but please be patient with us in getting back to you. If you are experiencing an eye emergency, please text us at 650-766-6655. We will do our best to get back to you in a timely manner. If you do not hear back within 30 minutes, please go to the local urgent care or the emergency room.

Thanks for your patience with us as we try to work through this. Stay tuned for updates via email.

Stay safe and healthy! We look forward to seeing you all back in a few weeks. Thanks, Your Friends at University Optometry