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Your Order Form

Home » For Prescribers » Online Order Form

Your Online Bioptic Order Form
-For EyeCare Professionals ONLY-

Patients CANNOT order Ocutech products directly.
Thus you must be an eyecare professional and have an account established with Ocutech before you can place an order.

NOTE: Form data is transmitted to the server over an encrypted, SSL secured connection. You will receive confirmation of your order by return email.