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  • SHOP CONTACTS & GLASSES
  • COSMIC CONTACT LENS CARE
  • ONLINE FORMS
  • DRY EYE RESCUE
  • ALTIUS CONTACT LENSES

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ONLINE FORMS AND DELIVERY INFORMATION

Thank you for your interest in our Optical.

We are going to need more information before the Contact Lenses or Glasses orders may be purchased. Please Copy and Paste link below into your internet search bar. EVERYONE WILL NEED TO COMPLETE THE "PATIENT INTAKE FORM" WHICH TAKES LESS THAN A MINUTE. You will be able to load any Prescriptions for glasses or contact lenses there. Anyone under 18 years old will need to have a "Parental Consent Form" filled out as well.

PLEASE READ CAREFULLY:

VERIFICATION & DELIVERY OPTIONS FOR CONTACT LENSES

 

We need verification of contact lens wear before we can fulfill your order:


1) All new clients please fill out the Patient Intake Form and upload your latest Contact Lens Prescription. https://form.jotform.com/232698853517167


2) Anyone under 18 years of age will need the Parental Consent Form filled out as well as the Patient Intake Form.  https://form.jotform.com/233356439326056


3) If you are a preexisting client and we have you records on file please message us ON FILE with name and Date of birth in the chat box or email us at cosmiccontactlenses@gmail.com.


New to contacts and DO NOT have a prescription?


We have 3 buying options for you:


1) Visit your local Board-Certified Licensed Optician or your Eye Doctor to receive a contact lens prescription. We will hold your contact lenses until verification is complete.


2) Presale pick up at future events or conventions. If contact lens fittings are needed with measurements they can be done on site for a fee.


3) South Florida Mobile Delivery. We provide contact lens measurements and basic insertion and removal training within Palm Beach County for a minimum fee of $55 plus the contact lens purchase. This fee includes the Insertion and Removal process of the contacts, and tips from a Board-Certified Licensed Optician. 

QUESTIONS?

 Please feel free to contact us with questions through email

 cosmiccontactlenses@gmail.com or text/call 561-662-2282. 

CONTACT US HERE

Form List

PATIENT INTAKE FORM

PARENTAL CONSENT FORM

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  • SHOP CONTACTS & GLASSES
  • COSMIC CONTACT LENS CARE
  • ONLINE FORMS
  • DRY EYE RESCUE
  • ALTIUS CONTACT LENSES

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