Optical Consultation Request Do you have a current glasses/contact lens prescription?(Required)(Have you had your annual routine eye exam within the past year of time?) Yes No I don't know Please schedule your annual routine eye exam for a new prescription. Call (303) 772-3300; text (303) 622-0630; or request online here.Please find out if you've had an annual routine eye exam in the last year. Call (303) 772-3300; text (303) 622-0630; or request online here.Name(Required) First Last Phone(Required)Email(Required) Date of Birth(Required) MM slash DD slash YYYY Would this be for our Lafayette Optical or Longmont Optical? Lafayette Longmont Is this for Contact Lenses or Glasses? Contact Lenses Glasses Is this for an order, a repair or an adjustment? Order Repair Adjustment CAPTCHA Δ
