UNITY CONTACT LENS INFORMATION REQUEST FORM

Complete the form below to contact our customer service team. You can also reach our customer service team directly at 1.800.245.6414 or unitycontactlenses@vsp.com.

First Name

Last Name

Practice Name

Primary Practice Email

Primary Practice Phone

Practice Address

Practice City

Practice State

Practice Zip Code

Job Title

Preferred Contact Method

Email Phone

Preferred Contact Time

Morning (8:00 a.m. - 12:00 p.m.) Afternoon (12:00 p.m. - 5:00 p.m.)

Additional Comments

SUBMIT

^*Unity BioSync^® Contact Lens with HydraMist^® is currently only available in the United States of America.