Contact Lens Orders

We’re making it simpler for you to order your contact lenses, simply fill out the form below and we’ll respond to you with a quote as quickly as possible.

Name(required)

Email(required)

Contact Number(required)

Patient ID Number (required for Medical Aid Claims)

If you are not an existing TaliVision patient, please provide the contact details of the optometrist who tested your eyes last or email your script on the letterhead of the testing optometrist to info@talivision.co.

Payment Method(required)

Cash Medical Aid EFT Credit Card (only for Collections)

Delivery or Collection(required)

Free Delivery within the Sandringham Glenhazel Area Collection at the TaliVision Practice

Medical Aid and Plan (required for Medical Aid Claims)

Medical Aid Number (required for Medical Aid Claims)

Medical Aid Main Member Name (required for Medical Aid Claims)

Medical Aid Main Member ID Number (required for Medical Aid Claims)

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