Contact lenses order

This form is for patients currently under care at The Children’s Hospital Westmead Eye Clinic.

Please don't use this form if your child is having problems with their contact lenses. Call the Eye Clinic on (02) 9845 2270.

 
1 Start 2 Complete
Please provide your first name and surname.
Please include first name and surname.
Left eye requirements
Left eyeTint colourQuantity
Right eye requirements
Right eyeTint colourQuantity
Please tell us how you would like to receive the contact lens when they are ready.

Once the order is ready, we will call you to find out your preferred postal address.