Dr. Dennis Ruskin & Associates-4162934309-contact_lens

Dr. Dennis Ruskin & Associates

Contact Lens Reorder Form

Note: You must fill in all the required fields

First Name:

Last Name:

Email Address:

Daytime phone number(cellphone preferred):

Pick-up Options: On-site pick-up OR Delivery

We will use your current prescription for the order.
You will be contacted if your current prescription is no longer valid.

Optometrist's name (Optional):

Quantity: 6 months 12 months

Additional Comments: (Optional)

Human test:

Enter Code Here:


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180 Sheppard Avenue East, Toronto, M2N 3A4 Phone: () -