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Dr. Young

CONTACT LENSES

If you are a present patient or customer and would like to order your contact lenses online, please fill out the form below. Forest Place Optical will use the information in your file for your order and we will mail your contact lenses to you. We will confirm your order with either a phone call or an email.

If you are not a present customer, please call us at 734-455-3340 or use our CONTACT US FORM and we will call you.

Name:  
Daytime Phone:
Email Address:
SOFT LENSES:


 
 
 
 
ASTIGMATISM:
 
 
HARD LENSES:
 
 
OTHER:
Questions
and/or
Comments:
 
 

 

 

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