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Order Contact Lens Refills

If you are a current customer of Bedford Eye Care Centre, you may use this form to order refills of your contact lenses.

Contact Lens Refill Order Form

Fields marked with * are required.

For your convenience, you may complete and submit this form to reorder more of your contacts based on your latest prescription.  Payment will be due on pickup in our office.  An email confirmation will be sent to you as a reminder of your order.

We cannot re-order your contacts if your prescription has expired. Contact Lens prescriptions are valid for one year.  We will contact you to schedule an eye exam if your prescription has expired.

Customer Information

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