This is for existing patients who have had a contact lens check-up within the past 12 months. You will be contacted once your contact lenses are ready for collection.
(*required)

* Your Name

* Your Email

* Your Date of Birth (dd/mm/yyyy)

* Phone Number

Type of Contact Lens
If you are unsure which type of lens you use please leave blank and just choose quantity we have this information on your file

Dailies
 Ciba Vision Aqua Comfort Dailies (1 month €45 3 months €130) Ciba Vision Focus Dailies (1 month €40 3 months €120) Johnson & Johnson 1 Day Acuvue Tru Eye (1 month €65 3 months €165) Bausch & Lomb Softlens Dailies (1 month €40 3 months €120)

Monthly Lenses

 Ciba Vision Air Optix Aqua with solution (3 months €75 6 months €150) Ciba Vision Air Optix Aqua without solution (3 months €70 6 months €140) Ciba Vision Air Optix Aqua Multifocal with solution (3 months €95 6 months €190) Ciba Vision Air Optix Aqua Multifocal without solution (3 months €90 6 months €180)

Quantity of Contact Lens
 1 Month 3 Months 6 Months 1 Year

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