Order Form

Please complete the below form with your order, we will then fax you a pro-forma invoice for payment to be sent. Once payment has cleared we will submit your order immediately.

Your name
Practice name
GOC number
Email address
Telephone no.
Fax no.
Address
Postcode
Comments

Item
Quantity
Dry Eye Treatment Products
Theratears Drops
Theratears Liquid Gel
Theratears Sterilid
Theratears Nutrition
Clarymist Spray
Clinitas Ultra 3
Clinitas Hydrate
Clinitas Soothe
Hycosan
Eyes Pack Hot/Cold Mask
Radiator Humidifier
 
Dry Eye Clinical Products
 
Lissamine Green Strips
Fluorescein Strips Bioglow
Enhancement Filter - Lissamine Green/ Fluorescein
Curved Stainless Steel Tweezers
Punctal Plug Gauge Set
Punctal Plug fitting starter kit
Laminated Punctal Plug Wall Chart
Titanium Punctal Dilator (Single Ended)
Titanium Punctal Dilator (Double Ended)
Diagnostic Collagen Punctal Plugs
Eagle Vision Silicone Punctal Plugs - 0.4mm
Eagle Vision Silicone Punctal Plugs - 0.5mm
Eagle Vision Silicone Punctal Plugs - 0.6mm
Eagle Vision Silicone Punctal Plugs - 0.7mm
Eagle Vision Silicone Punctal Plugs - 0.8mm
Eagle Vision Silicone Punctal Plugs - 0.9mm
Eagle Vision Silicone Punctal Plugs - 1.0mm
Eagle Vision Silicone Punctal Plugs - 1.1mm
Eagle Plug Vision Flow Controllers - 0.8mm
Lachrimal Cannula -curved 21g large
Lachrimal Cannula -curved 26g small
Zone Quick Phenol Red Thread Test
 
Contact Lens Solutions
Panasept Peroxide System
Synergy Soft Lens Disinfection Solution - 1 month
Synergy Soft Lens Disinfection Solution - 3 month
Novoxy 2 Step System - 1
Novoxy 2 Step System - 2
Sauflon Saline
Sauflon Trizyme
 
Dietary Supplements
Theratears nutrition
Flax Seed Oil
Vit Eyes Omega 3
Visionace
 
Workshop and Dispensing Tools and Equipment
Theratears PD Ruler
Screwdriver Set No.1
Recumbrant Bed Reading Spectacles
Flip-Focal Clip on Reading Addition
Make up Spectacles - +1.50
Make up Spectacles - +2.00
Make up Spectacles - +2.50
Heat Shrink Cover - Clear - 4mm
Heat Shrink Cover - Clear - 7mm
Heat Shrink Cover - Brown - 3.2mm
Heat Shrink Cover - Terracota - 3.2mm
Heat Shrink Cover - Black - 3.2mm
Heat Shrink Cover - Translucsent - 3.2mm
Electronic PD measure
Focimeter (Internal Reading)
 
Eye Exam Equipment
Cross CYL +/- 0.25
Cross CYL +/- 0.50
Binocular Twirls/Confirmation Tests
 

 

 

 
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