Skip to main content

Home
Contact Us
Privacy Policy
Online Appointment Scheduler

Locate Us
Doctors
Our Team
Services
Products
Insurance
Testimonials
FYEO & Community
Eye Library

For Your Eyes Only Optometry is located in the heart of the Castro, at 552 Castro Street, between 18th and 19th streets. Look for our brown awning in the middle of the block, which leads you upstairs to the 2nd floor.

552 Castro Street, San Francisco, CA 94114
Call (415) 626-0858 or schedule an eye exam online.

Offering the best eye care in a fun, friendly environment

Home » Contact Lens Order Form

Contact Lens Order Form

Contact Lens Order Form

If contacts are in stock it will take 1-2 Business Days for them to arrive to our office.

Order Information
You must be a patient with us and have a valid contact lens prescription to order online. As of now there is no online payment method. Payment can be done once you pick up or over the phone.
Name*
First Last
Date of Birth*
MM slash DD slash YYYY
Choose Your Supply*
If Other, Please Specify. (i.e. 1 box each eye, 3 boxes total, etc)
- 12 Months Supply
- 6 Months Supply
- 3 Months Supply
- 1 Month Supply
- Same As Most Recent Order
Are You Ordering Freshlook color contacts?
- Yes
- No
Freshlook Color Contact Options
If you have been fitted with Freshlook color contact lenses, feel free to select any of the color options below.
Would You Like Us To Apply Insurance? (If Any Is Found)*
Important: Most insurance plans allow you to get contacts OR glasses, not both. Applying insurance towards contacts now voids your benefits towards glasses.
- Yes
- No
If we can't find insurance, should we still order your contacts?
- Yes
- No
Select Way(s) For Us To Contact You Once They Arrive!*
- Phone Call
- Text Message
- Email
Phone
Email
Any Requests, Questions, or Concerns?
Signature

Search:

Book an Appointment Online

New Patient Form

Order Contacts Online

Patient Quick Links:

NEW Gold & Wood
Fine woods, buffalo horn and unparalleled expertise. Have a look!

lafont eyeglasses 1

Prada models orange

Ray Ban Wayfarer

Designer Frame Lines
Including Tom Ford, Prada, Face A Face, Celine, Ray-Ban, and many more.

Meet our Doctors
Learn more about Dr. Kathleen Kennedy and Dr. Tonya Watson.

Office Hours

Monday: 9:00 AM - 5:00 PM
Tuesday: 9:00 AM - 5:00 PM
Wednesday: 9:00 AM - 5:00 PM
Thursday: 9:00 AM - 5:00 PM
Friday: 10:00 AM - 5:00 PM
Saturday: 10:00 AM - 5:00 PM
Sunday: Closed

Other appointment times are available by prior arrangement with our office.

Note:

Please contact us with any questions you might have.

Home
Contact Us
Privacy Policy
Online Appointment Scheduler

Locate Us
Doctors
Our Team
Services
Products
Insurance
Testimonials
FYEO & Community
Eye Library

Powered by EyeCarePro.com
The materials and articles contained on this website are copyrighted and protected under Title 17 of the United States Code
Email Accessibility | Website Accessibility | Sitemap | Privacy | Disclaimer | Login