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Contact Us
Home
About Us
Meet the Doctors
Insurance
Our Services
Our EyeWear
Patients
Patient Portal
Prepare For Your Visit
Patient Forms
Order Contacts
Promotions
Eyecare Articles
Testimonials
Contact Us
Order Contacts Online
We are happy to be able to provide the re-ordering of contact lenses online for our patients. Please fill out the form below with the patient’s information and your order request. We will then pull the patient file and call you to confirm the order
Email Us Using The Form Below
*
Indicates required field
Name
*
First
Last
Email
*
Phone Number
*
Are you a patient of Anniston Eye Clinic? (Yes or No)
*
Contact Lens Brand / Type
*
Quantity of Contact Lenses (i.e. 6 month or 1 year supply)
*
Submit