Home
Forms Library
Contact lens order form template

Contact lens order form template 2026

contact lens order form template Preview on Page 1

See details

4 out of 5

34 votes

The document is a CUSTOM LENS ORDER SPECIFICATION FORM used for placing orders for various types of contact lenses, including new and exchange orders for both gas permeable (GP) and soft lenses. It collects essential information such as account details, patient information, shipping preferences, lens specifications, and additional notes. The form also provides contact information for consultation and order placement.

Here's how it works

01. Edit your contact lens order form template online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send contact lens order form via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out contact lens order form template with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the contact lens order form in the editor.
Begin by entering your Account Name and Account Number at the top of the form. This information is essential for processing your order.
Fill in the Contact Person's name and Order Date to ensure accurate communication regarding your order.
Provide the Patient's Name, including both Last and First names, to identify who the lenses are for.
Select where you want the completed lens order shipped: either to the Office or directly to the Patient. Fill in their shipping address details accordingly.
Choose a Shipping Method that suits your needs, such as 1st Class Mail or Overnight, and provide any necessary details like Zip Code and Phone Number.
Indicate the ORDER TYPE by selecting from options like New GP Lens or Soft Lens Exchange. Be sure to include any relevant Invoice Numbers if applicable.
Complete additional specifications for GP Lens Orders or Intelliwave Soft Lens Orders as needed, ensuring all measurements are accurate.
Use the NOTES section for any special instructions or additional information that may assist in processing your order effectively.

Start filling out your contact lens order form today using our platform for free!

See more contact lens order form template versions

We've got more versions of the contact lens order form template form. Select the right contact lens order form template version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2021	4.9 Satisfied (37 Votes)
2011	4 Satisfied (34 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How do I know what contacts to order?

Choosing Contact Lenses Determine How Often Youll Wear Them. With the Help of Your Optometrist, Decide on A Wear Form. Consider Your Desired Maintenance Level. Think About Your Eye Sensitivity. Consider the Cost. Assess Your Prescription. Decide If You Want Any Special Features. Consult with Your Optometrist.

Can I use my glasses prescription to order contact lenses?

The measurements from one eye test are not compatible with the other. So, is the prescription for contacts the same as glasses? The answer is NO because you need to have 2 separate eye tests, which will result in 2 different prescriptions.

What is the 4 to 1 rule for contact lenses?

This sensitivity phenomenon gave rise to the 4:1 rule, which states that the best candidates for soft toric contact lenses are patients with a sphere to cylinder power ratio of 4:1 (e.g., -4.00 -1.00 x 090).

How do you know which contacts are the right way?

Gently squeeze the lens as if you were trying to fold it in half. While squeezing, look at the edge of the lens. If its pointing upwards, or if the edges appear to meet, then the lens is the correct way around. If it bends outwards towards your finger and thumb, then the lens is inside out.

Can I order more contacts without an eye exam?

All contact lenses are FDA-regulated medical devices that require a prescription, even if they dont correct your vision.

contact lens order forms printable

Contact lens order form template word Contact lens order form template free Contact lens order form template pdf Contact lens order form template excel

Security and compliance

At DocHub, your data security is our priority. We follow HIPAA, SOC2, GDPR, and other standards, so you can work on your documents with confidence.

Learn more

How do I know which contact solution to buy?

How to Choose the Right Contact Solution in 5 Easy Steps Step 1: Determine Your Contact Type. Before choosing a contact solution, youll need to know which kind of lenses you use. Step 2: Learn About Different Solution Types. Step 3: Make a Choice. Step 4: Assess How You Feel. Step 5: Follow the Directions.