Contact Lens Reorder Request Form
Please use this form to request a reorder of your contact lenses. Upon receipt of your request, we will contact you within five working days (Mon-Sat) to process your order and take payment.
**PLEASE NOTE: We are currently experiencing high demand so there may be a small delay in response.**
Please note in order to successfully complete your order, your Contact Lens and Eye Examination prescriptions must be held with Leightons and be in date.
Your email address is collected in order to provide a confirmation email, and is not passed to any third party. Please see our privacy notice for full details.
Postcode (Home Address)
Date Of Birth
Contact Phone Number
What would you like to order?
Daily Contact Lenses
Re-Usable Contact Lenses
Re-Usable Contact Lenses PLUS Solutions
Your Preferred Branch
Lewes (Spectrum Eyecare)
Marlow (Leightons Insight)
Poole (Leightons & Tempany)
Windsor (Leightons Eye Windsor)
Please add any other useful information to support this request. **PLEASE NOTE: If you are a key worker, please state this here.**
Send me a copy of my responses.
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This form was created inside of Leightons Opticians and Hearing Care.