Drs RINEARSON, RENNER, WARREN & PERRY Optometrists

To place an order for contact lenses, please send an email to RRaSwetlow1@hotmail.com and include the following:

Patient Information:

Full Name:

Date of Birth:

Best number to call for follow up:

Shipping Address(fee of $8.00):

Contact Lens Information

How many boxes you wish to order:

Which eye: left right or both

Often there are significant discounts for orders which meet certain criteria. Please feel free to call the office (703-578-3600) and ask to speak to the contact lens department and they would be happy to assist you.